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KET : HANYA KOLOM BERWARNA KUNING YANG DIISI

Kode Puskesmas : :
Puskesmas :MALEI
Kecamatan :KECAMATAN BALAESANGTANJUNG LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT
Pustu / Polindes : (LPLPO)
Kabupaten :DONGGALA
Provinsi :SULAWESI TENGAH

HARGA SATU- STOK


KODE NAMA OBAT
(Rp) AN AWAL
1 2 3 4 5
0001 Acyclovir 200 mg 251 Tablet 2,000
0002 Acyclovir 400 mg 340 Tablet 100
0003 Acyclovir Krim 5% 2,367 Tube
0004 Adona Injeksi 5 ml 16,940 Vial
0005 Air Raksa Dental USE 103,536 Botol
0006 Alat suntik sekali pakai 1 ml 993 Pcs 27
0007 Alat suntik sekali pakai 2,5 ml 944 Pcs
0008 Alat suntik sekali pakai 3 ml 944 Pcs 15
0009 Alat suntik sekali pakai 5 ml 944 Pcs 3
0010 Albendazol 425 Tablet
0011 Alopurinol tablet 100 mg 106 Tablet 90
0012 Ambroxol 30 mg 89 Tablet 120
0013 Ambroxol sy 15 mg/ml 2,722 Botol
0014 Aminofilin inj 3,315 Ampul
0015 Aminofilin tablet 200 mg 93 Tablet
0016 Amitriptilin 127 Tablet
0017 Amlodipin 10 mg 440 Tablet 70
0018 Amoksisikin Sirup kering 125mg/5ml 2,511 Botol 60ml -
0019 Amoksisilin kaplet 500 mg 228 Kaplet 170
0020 Ampicilin Serbuk inj i.m/i.v 4,700 Vial
0021 Ampisilin Kaplet 500 mg 407 Kaplet
0022 Antalgin 500 mg 36 Tablet
0023 Antasid syrup 2,065 Botol 60ml 8
0024 Antasida doen tablet kombinasi 73 Tablet 160
0025 Antifungi doen kombinasi 2,096 Pot
0026 Antihemoroid doen kombinasi 2,000 Tube
0027 Antimalaria DOEN kombinasi : Pirimetamin tablet 25 mg Sulfadoksin tablet 50 525 Tablet
0028 Antimigren tablet : Ergotamin Tartrat 1 mg + Kofein 50 mg 135 Tablet
0029 Aqua pro Inj Steril 5,900 Botol 2
0030 Asam Ascorbat (Vitamin C) tablet 50 mg 32 Tablet 100
0031 Asam mefenamat 500 mg 115 Tablet 70
0032 Atropin injeksi 1.m/i.v/s.k. 0,25 mg/ml 1,353 Ampul
0033 Bacitracin cream 3,000 Tube
0034 Betametason krim 0,1 % 1,670 Tube 6
0035 Bioplasenton 15,909 Tube
0036 Bromhexin tablet 8 mg 39 Tablet
0037 Catgut/benang bedah no.2/0-3/0 24,583 Pcs 15
0038 Deksametason Inj 1,850 Ampul 18
0039 Deksametason tablet 0,5 mg 81 Tablet 60
0040 Dekstrometorfan hbr sirup 10 mg/5 ml 1,467 Botol 60 ml
0041 Dekstrometorfan tablet 15 mg 102 Tablet
0042 Diazepam 2 mg 28 Tablet
0043 Diazepam 5 mg 65 Tablet
0044 Diazepam injeksi 5 mg/ml 2,578 Ampul
0045 Difenhidramin injeksi i.m. 10 mg/ml (HCl) 1,045 Ampul
0046 Digoksin tablet 0,25 mg 96 Tablet
0047 Diltiazem HCl tablet 30 mg 129 Tablet
0048 Doksisiklin Kapsul 100 mg 250 Kapsul
0049 Domperidon suspensi 5 mg/5 ml 3,766 Botol 60ml 6
0050 Domperidon tablet 10 mg 192 Tablet 230
0051 Dulcolax Suppositoria 10 mg 23,200 Suppositoria
0052 Efedrin HCl 25 mg 23 Tablet
0053 Ekstrak belladon tablet 10 mg 42 Tablet
0054 Epinefrin (Adrenalin) injeksi 0,1 % (sebagai HCl) 1,650 Ampul
0055 Eritromisin kapsul 250 mg 462 Kapsul
0056 Eritromisin kapsul/kaplet 500 mg 1,013 Tablet
0057 Eritromisin sirup 200 mg/ 5 ml 7,581 Botol 60ml 6
0058 Erlamycetin tetes mata 9,900 Botol 5 ml
0059 Etakridin larutan 0,1% 2,354 Botol 300 ml
0060 Etanol 70 % (Alkohol) 100 ml 20,500 Botol 1000ml 1
0061 Ethyl Chlorida 105,000 Botol 100 cc
0062 Eugenol 45,833 Botol
0063 FDC 1 299,200 Tablet
0064 FDC 2 1,200,000 Tablet
0065 Fenobarbital injeksi i.m./i.v. 50 mg/ml 1,888 Ampul
0066 Fenobarbital tablet 30 mg 67 Tablet
0067 Fenol Gliserol tetes telinga 10% 1,109 Botol
0068 Fitomenadion (vit. K1) injeksi 10 mg - 1ml 1,723 Ampul 16
0069 Fitomenadion (vit.K1) tablet salut 10 mg 641 Tablet 50
0070 Folley catheter 8,495 Pcs
0071 Furosemid tablet 40 mg 90 Tablet
0072 Garam Oralit I serbuk, kombinasi : Natrium 0,52 g Kalium klorida 0,30 322 Sachet 25
0073 Gemfibrozil kapsul/kaplet 300 mg 306 Tablet
0074 Gentamycin salep kulit 0,1% 1,469 Tube
0075 Gentamisin Sulfat tetes mata 0,3% 3,194 Botol 5 ml
0076 Gentian Violet larutan 1 % 985 Botol 10 ml
0077 Glass lonomer cement (gc ix) 395,000 Set
0078 Glibenklamid tablet 5 mg 59 Tablet
0079 Gliseril guayakolat tablet 100 mg 28 Tablet 930
0080 Glukosa Larutan Infus 10 % Steril 6,300 Kolf 500 ml
0081 Glukosa Larutan Infus 5 % Steril 5,844 Kolf 500ml
0082 Griseofulvin tablet 125 mg 204 Tablet 90
0083 Haloperidol tablet 1,5 mg 64 Tablet
0084 Handscoon 4,250 Pcs
0085 Handscoon Gynaekologi 24,000 Pcs
0086 Hemafort 777 Tablet 100
0087 Hepafix 89,000 Rol
0088 Hidroklorotiazid (HCT) tablet 25 mg 40 Tablet
0089 Hidrokortison krim 2,5 % 2,519 Tablet 10
0090 Ibuprofen tablet 200 mg 96 Tablet 250
0091 Ibuprofen tablet 400 mg 153 Tablet 60
0092 Infusion set anak 4,400 Pcs 5
0093 Infusion set Dewasa 3,850 Pcs 9
0094 Isosorbit dinitrat tablet sublungual 5 mg 101 Tablet
0095 IV Catheter 20 8,566 Pcs 13
0096 IV Catheter 22 7,000 Pcs 15
0097 IV Catheter 24 8,566 Pcs 10
0098 Kalium Diklofenak tablet 50 mg 425 Tablet
0099 Kalnex (Asam Tranexamat) injeksi 11,000 Ampul
0100 Kalsium Hidroksida Pasta 220,000 Tube
0101 Kalsium laktat (kalk) tablet 500 mg 51 Tablet 90
0102 Kanamicyn Injeksi 1 gr 8,965 Vial
0103 Kapas pembalut/absorben 250 mg 7,500 Bungkus
0104 Kaptopril 12,5 mg 63 Tablet 130
0105 Kaptopril 25 mg 94 Tablet 90
0106 Karbamazepin tablet 200 mg 267 Tablet
0107 Kasa Elastis 4 Inci 11,000 Rol
0108 Kasa Hidrofil steril uk. 16x16 (isi 16 Lembar) 584 Kotak
0109 Kasa Kompres 40/40 Steril 1,393 Bungkus
0110 Kasa pembalut 2 m x 80 cm 17,143 Rol
0111 Kasa Pembalut Hidrofil 4 m x 10 cm 668 Rol
0112 Kasa pembalut hidrofil 4 m x 15 cm 3,373 Rol
0113 Kasa pembalut hidrofil 4 m x 3 cm 733 Rol
0114 Kasa Pembalut Hidrofil 4 m x 5 cm 3,373 Rol
0115 Ketorolac inj 30 mg 2,539 Ampul
0116 Kina Tablet 814 Tablet
0117 Klindamisin kapsul/kaplet 300 mg 579 Tablet
0118 Kloramfenicol kapsul 250 mg 250 Kapsul
0119 Kloramfenikol tetes telinga 3% 1,759 Botol 5 ml 2
0120 Kloramfenicol suspensi 125mg/5ml 4,016 Botol 60ml 12
0121 Kloramfenikol tetes mata 0,5 % 2,750 Botol 5ml
0122 Klorfeniramin maleat (ctm) tablet 4 mg 23 Tablet 150
0123 Klorokuin tablet 150 mg 64 Tablet
0124 Klorokuin tablet 250 mg 112 Tablet
0125 Klorpromazin hcl tablet salut 100 mg 146 Tablet
0126 Kodein tablet 10 mg 517 Tablet
0127 Komb. pirimetamin 25100
Sulfametoksazol mg+sulfadoksilin
mg 500 mg 700 Tablet
0128 Trimetoprim 20 mg 79 Tablet -
0129 Kotrimoksazol DOEN I (dewasa) kombinasi : Sulfametoksazol 400 mg , Trimetop 146 Tablet 250
0130 Kotrimoksazol Suspensi komb: 2,213 Botol 60ml 4
0131 Larutan Asam Asetat 6 % 15,730 Botol
0132 Larutan asam sulfosalisilat 20% 1,179 Botol
0133 Larutan Barium Klorida 2, 10 % 132,000 Botol
0134 Larutan benedict 49,500 Botol
0135 Larutan Fouchet 39,380 Botol
0136 larutan Giemsa stain 132,000 Botol
0137 Larutan HCL 0,1 % 14,116 Botol
0138 Larutan Turk 20,000 Botol
0139 Lidokain injeksi 2% 1,000 Ampul 13
0140 Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000-2ml 1,485 Ampul
0141 Loperamid 2 mg 92 Tablet 100
0142 Linkomisin kapsul/kaplet 500 mg 607 Tablet
0143 Magnesium Sulfat inj. (IV) 40% - 25 ml OTSU 4,800 Vial
0144 Masker 1,238 Pcs 2
0145 Mebendazol 100 mg 248 Tablet
0146 Metformin HCl tablet 500 mg 105 Tablet
0147 Methylprednisolon tablet 4 mg 198 Tablet 140
0148 Metilergometrin maleat inj.0,200 mg - 1 ml 3,509 Ampul
0149 Metilergometrin maleat tablet salut 0,125 133 Tablet 90
0150 Metoklopramide 10 mg 93 Tablet
0151 Metoklopramide sirup 1,919 Botol 60 ml
0152 Metronidazol tablet 500 mg 183 Tablet
0153 Mikonazole krim/salep 2% 3,300 Tube 2
0154 Myomergin injeksi 3,800 Ampul
0155 Natrium Diklofenak 25 mg 155 Tablet
0156 Natrium Diklofenak 50 mg 206 Tablet 90
0157 Natrium klorida larutan infus 0,9 % steril 5,390 Kolf 500ml 2
0158 Needle 275 Pcs
0159 Neo Diastop 1,357 Tablet
0160 Neuropanstop 990 TAblet
0161 Nifedipin 10 mg 118 Tablet 90
0162 Nistatin 100.000 iu/g tablet vaginal 448 Tablet 100
0163 Nistatin 500.000 ju/g tablet salut 704 Tablet
0164 Novadiar Suspensi 7,455 Botol 60 ml
0165 Novadium 15 Tablet
0166 NOVAMAG (Antasida DOEN II Suspensi, Kombinasi) 6,364 Botol 60 ml
0167 NOVAMOX (Amoksisilin Sirup Kering 125 mg/5 ml) 10,227 Botol 60 ml
0168 NOVASTAN (Asam Mefenamat Kaplet 500 mg) 159 Tablet
0169 Noza 463 Tablet
0170 OBH 1,400 Botol 100ml
0171 Oksitetrasiklin hcl inj.i.m. 50 mg/ml - 10 ml 2,267 Vial
0172 Oksitetrasiklin hcl salep kulit 3 % 1,646 Tube
0173 Oksitetrasiklin hcl salep mata 1% 1,680 Tube
0174 Oksitosin (Pitogin) injeksi 10 ju/ml - 1 ml 5,290 Ampul 9
0175 Omeprazole caps 265 Kapsul 30
0176 Paraformaldehide 100 Botol
0177 Parasetamol sirup 120 mg/5 ml 1,404 Botol 60ml 6
0178 Parasetamol tablet 500 mg 85 Tablet 100
0179 Pavaperin tab 40 mg 128 Tablet
0180 Piracetam inj 3 mg/ 15 ml 4,700 Ampul
0181 Piracetam tablet 400 mg 194 Tablet
0182 Pirantel tablet score (base) 125 mg 288 Tablet 21
0183 Piridoksin hcl (B6) tablet 10 mg 16 Tablet 840
0184 Piroksikam kapsul/kaplet/tablet 20 mg 92 Tablet
0185 Plester 5 yard x 2 inch 23,625 Rol
0186 Ponuric Tablet 1,252 Tablet
0187 Prednison tablet 5 mg 57 Tablet 60
0188 Primaquin tablet 15 mg 125 Tablet
0189 Propanolol 10 mg 85 Vial
0190 Propiltiourasil tablet 100 mg 297 Tablet
0191 Ranitidin 150 mg 119 Tablet 190
0192 Ranitidin Inj 1,157 Ampul 14
0193 Reserpin 0,1 mg Tablet 89 Tablet
0194 Reserpin 0,25 mg Tablet 114 Tablet
0195 Ringer laktat larutan infus steril 5,720 Kolf 500 ml 6
0196 Salbutamol tablet 2 mg 70 Tablet 70
0197 Salep 2 - 4 kombinasi 1,352 Pot 7
0198 Salisil bedak 2 % 1,180 Pcs 5
0199 Scabisid cream 7,700 Tube
0200 Sefadroksil kapsul/kaplet 500 mg 521 Tablet
0201 Sefadroksil sirup kering 125 mg/5ml 5,248 Botol 60 ml 8
0202 Sefotaksim injeksi 1 g 7,546 Vial
0203 Seftriakson injeksi 1 g 2,578 Vial
0204 Semen seng fosfat serbuk dan cairan 102,850 Set
0205 Sianokobalamin (vit. B.12) inj. 500 mcp/ml 1,067 Ampul 10
0206 Sianokobalamin (Vit. B.12) tablet 15 Tablet 80
0207 Silk (Benang Bedah sutera) no 3.0 6,983 Pcs
0208 Silver amalgam serbuk 65 - 75 % 227,311 Botol
0209 Simetidin tablet 200 mg 106 Tablet
0210 Simvastatin 10 mg 180 Tablet 80
0211 Siprofloksasin tablet 500 mg (sebagai HCl) 241 Tablet
0212 Sisoprim tablet (Kotrimoksasol 480 mg) 436 Tablet
0213 Stesolid suppositoria 5 mg 37,760 Suppositoria
0214 Stesolid tablet 5 mg (Valdimex tab 5 mg) 1,690 Tablet
0215 Stesolid Injeksi 5 mg 15,200 Ampul
0216 Temporary stropping fletcher 34,000 Botol
0217 Tetrasiklin hcl kapsul 250 mg 147 Kapsul 80
0218 Tetrasiklin hcl kapsul 500 mg 226 Kapsul
0219 Tiamfenikol kapsul/kaplet 500 mg 440 Tablet
0220 Tiamin (Vitamin B1) injeksi 100 mg/ml 750 Ampul
0221 Tiamin (vit. B1) tablet 50 mg 85 Tablet 1,000
0222 Tramadol kapsul/kaplet/tablet 50 mg 196 Tablet
0223 Tramadol injeksi 50 mg/ml 6,200 Ampul
0224 Triheksifenidil hidroklorida tablet 2 mg 44 Tablet
0225 Truvit syrup 13,000 Botol 60ml
0226 Urine bag 4,000 Pcs
0227 Vastarel (Vit Kombinasi B1, B6,B12) 509 Tablet
0228 Vitamin B kompleks tablet 22 Tablet 70
0229 Wings nedlee 2,145 Pcs
0230 Yodium povidon larutan 10 % 30 ml 2,100 Botol 30ml 1
0231 Yodium povidon larutan 10 % 60 ml 3,675 Botol 60ml
0232 Zincare tablet (Zinc 20 mg) 2,907 Tablet
0233 Zinc tablet 20 mg 494 Tablet 210
0234 Kasa 36m x 80 cm 60,720 Rol
0235 Amoksisillin + Asam Klavulanat 5,040 Tablet
0236 Siobion 1,067 Tablet
0237 Salbutamol 4 mg Tablet 100
0238 Becefort sirup Botol 5
0239 Pirantel Sirup
0240 Ketokonazole tablet
0241 Hanscun steril
0242 Sohobion injeksi
0243 Metoklopramide 5 mg
0244 Simvastatin 20 mg
0245 Kloramfenikol salep mata -
0246 Etanol 70 % (Alkohol) 1000 ml
0247 Lidokain injeksi 40 mg/2 ml
0248 Miniaspi 80 mg / Asam acetilsalicilic Acid
0249 Diazepam Rektal 5 mg
0250 Oksitosin induxin
0251 Piroksikam 10 mg
0252 Polifix -
0253 Yodium povidon larutan 10 % 300 ml
0254 Alcohol Swab CHG 0,5%
0255 Policlean 500 ml
0256 FM Crape Pembalut elastis/Gips
0257 Antihemoroid
0258 Lytacur Sirup
0259 Farbion ijn
0260 Pratopril / Piracetam inj 200mg
0261 Chloramex/Kloramfenikol 500 mg
0262 Stik Asam Urat
0263 Stik Gula Darah
0264 Stik Kolesterol
0265 Hemafort/ FE
0266 OAT Kategori 1
0267 Methisoprinol syrup
0268 Salbutamol sulfat 4 mg
0269 Consentrat cleaner
0270 Diluents
0271 Glucosa
0272 GOT
0273 GPT
0274 Lyse
0275 Test kehamilan
0276 Ureum
0277 Widal test
0278 Creatinin
0279 Kloramfenikol Tetes Telinga (Erlamicetyn)
0280 Trifasicline Salep
0281 Oksitetrasiklin HCl salep mata 1% (Terramicin)

KUNJUNGAN
JUMLAH KUNJUNGAN RESEP JAMKESMAS BPJS
4 58

Mengetahui / Menyetujui Pengelolah Gudang


Kepala Puskesmas Puskesmas

SUGENG RAHARDJO MIRANTI A.Md,Far


Nip. 19630716 198803 1 012
B U F F E R
01 -
02 -
03 -
04 -
05 -
06 -
07 -
08 -
09 -
10 -
11 -
12 -
13 -
14 -
15 -
16 -
17 -
18 -
19 -
20 -
21 -
22 -
23 -
24 -
25 -
J K N
1 -
2 -
3 -
4 -
5 -
6 -
7 -
8 -
9 -
10 -
AR PERMINTAAN OBAT

PENERI- PERSE- PEMAK- SISA PERMIN- KET


MAAN DIAAN KAIAN STOK TAAN
6 7=(5+6) 8 9=(7-8) 11
#VALUE! #VALUE!
- 100 - 100
- -
- -
- -
- 27 6 21
- -
20 35 20 15
3 1 2
- -
200 290 80 210
- 120 20 100
- -
- -
- -
- -
- 70 70
- - - -
300 470 170 300
- -
- -
- -
- 8 2 6
200 360 90 270
- -
- -
- -
- -
2 2
100 20 80
200 270 110 160
- -
- -
5 11 1 10
- -
- -
15 15
- 18 9 9 kadaluarsa
200 260 90 170
- -
- -
- -
- -
- -
- -
- -
- -
- -
6 1 5
230 230
- -
- -
- -
- -
- -
- -
6 6
- -
- -
3 4 3 1
- -
- -
- -
- -
- -
- -
- -
16 10 6
50 10 40
- -
- -
25 10 15
- -
- -
- -
- -
- -
- -
- 930 50 880
- -
- -
90 90
- -
- - -
- -
200 300 20 280
- -
- -
10 10
250 250
100 160 20 140
5 5
- 9 9
- -
- 13 13
- 15 15
10 10
- -
- -
- -
- 90 90
- -
- -
200 330 50 280
200 290 20 270
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
2 2
12 5 7 kadaluarsa
- -
150 150 - kadaluarsa
- -
- -
- -
- -
- -
100 100 100
- 250 40 210
4 1 3
- -
- -
- -
- -
- -
- -
- -
- -
- 13 13
- -
- 100 10 90
- -
- -
2 2
- -
- -
100 240 80 160
- -
90 20 70
- -
- -
- -
2 2
- -

200 290 90 200


2 1 1
- -
- -
- -
90 90
100 100
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
9 5 4
- 30 10 20
- -
- 6 2 4
300 400 140 260
- -
- -
- -
21 21
840 840 - di pinjam pusling
- -
- -
- -
- 60 20 40
- -
- -
- -
100 290 50 240
- 14 2 12
- -
- -
6 6
100 170 20 150
7 7
5 5
- -
- -
8 1 7
- -
- -
- -
10 10
80 80
- -
- -
- -
- 80 10 70
- -
- -
- -
- -
- -
- -
80 80
- -
- -
- -
1,000 1,000
- -
- -
- -
- -
- -
- -
70 30 40
- -
5 6 3 3
- -
- -
210 50 160
- -
- -
- -
100 100
5 5
- -
- -
- -
- -
- -
- -
- - - - 1
- -
- -
- -
- -
- -
- -
- - - - 1
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -

N TOTAL
UMUM
64
2

25 JANUARI 2017
Penanggung Jawab

FIRDA ZAINI, A. Md, Keb


NRPTT. 19. 4 3500 723
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
KET : HANYA KOLOM BERWARNA KUNING YANG DIISI
Kode Puskesmas : :
Puskesmas :MALEI
Kecamatan :KECAMATAN BALAESANGTANJUNG LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT
Pustu / Polindes : (LPLPO)
Kabupaten :DONGGALA
Provinsi :SULAWESI TENGAH

HARGA SATU- STOK


KODE NAMA OBAT
(Rp) AN AWAL
1 2 3 4 5
0001 Acyclovir 200 mg 251 Tablet #VALUE!
0002 Acyclovir 400 mg 340 Tablet 100
0003 Acyclovir Krim 5% 2,367 Tube -
0004 Adona Injeksi 5 ml 16,940 Vial -
0005 Air Raksa Dental USE 103,536 Botol -
0006 Alat suntik sekali pakai 1 ml 993 Pcs 21
0007 Alat suntik sekali pakai 2,5 ml 944 Pcs -
0008 Alat suntik sekali pakai 3 ml 944 Pcs 15
0009 Alat suntik sekali pakai 5 ml 944 Pcs 2
0010 Albendazol 425 Tablet -
0011 Alopurinol tablet 100 mg 106 Tablet 210
0012 Ambroxol 30 mg 89 Tablet 100
0013 Ambroxol sy 15 mg/ml 2,722 Botol -
0014 Aminofilin inj 3,315 Ampul -
0015 Aminofilin tablet 200 mg 93 Tablet -
0016 Amitriptilin 127 Tablet -
0017 Amlodipin 10 mg 440 Tablet 70
0018 Amoksisikin Sirup kering 125mg/5ml 2,511 Botol 60ml -
0019 Amoksisilin kaplet 500 mg 228 Kaplet 300
0020 Ampicilin Serbuk inj i.m/i.v 4,700 Vial -
0021 Ampisilin Kaplet 500 mg 407 Kaplet -
0022 Antalgin 500 mg 36 Tablet -
0023 Antasid syrup 2,065 Botol 60ml 6
0024 Antasida doen tablet kombinasi 73 Tablet 270
0025 Antifungi doen kombinasi 2,096 Pot -
0026 Antihemoroid doen kombinasi 2,000 Tube -
0027 Antimalaria DOEN kombinasi : Pirimetamin tablet 25 mg Sulfadoksin tablet 50 525 Tablet -
0028 Antimigren tablet : Ergotamin Tartrat 1 mg + Kofein 50 mg 135 Tablet -
0029 Aqua pro Inj Steril 5,900 Botol 2
0030 Asam Ascorbat (Vitamin C) tablet 50 mg 32 Tablet 80
0031 Asam mefenamat 500 mg 115 Tablet 160
0032 Atropin injeksi 1.m/i.v/s.k. 0,25 mg/ml 1,353 Ampul -
0033 Bacitracin cream 3,000 Tube -
0034 Betametason krim 0,1 % 1,670 Tube 10
0035 Bioplasenton 15,909 Tube -
0036 Bromhexin tablet 8 mg 39 Tablet -
0037 Catgut/benang bedah no.2/0-3/0 24,583 Pcs 15
0038 Deksametason Inj 1,850 Ampul 9
0039 Deksametason tablet 0,5 mg 81 Tablet 170
0040 Dekstrometorfan hbr sirup 10 mg/5 ml 1,467 Botol 60 ml -
0041 Dekstrometorfan tablet 15 mg 102 Tablet -
0042 Diazepam 2 mg 28 Tablet -
0043 Diazepam 5 mg 65 Tablet -
0044 Diazepam injeksi 5 mg/ml 2,578 Ampul -
0045 Difenhidramin injeksi i.m. 10 mg/ml (HCl) 1,045 Ampul -
0046 Digoksin tablet 0,25 mg 96 Tablet -
0047 Diltiazem HCl tablet 30 mg 129 Tablet -
0048 Doksisiklin Kapsul 100 mg 250 Kapsul -
0049 Domperidon suspensi 5 mg/5 ml 3,766 Botol 60ml 5
0050 Domperidon tablet 10 mg 192 Tablet 230
0051 Dulcolax Suppositoria 10 mg 23,200 Suppositoria -
0052 Efedrin HCl 25 mg 23 Tablet -
0053 Ekstrak belladon tablet 10 mg 42 Tablet -
0054 Epinefrin (Adrenalin) injeksi 0,1 % (sebagai HCl) 1,650 Ampul -
0055 Eritromisin kapsul 250 mg 462 Kapsul -
0056 Eritromisin kapsul/kaplet 500 mg 1,013 Tablet -
0057 Eritromisin sirup 200 mg/ 5 ml 7,581 Botol 60ml 6
0058 Erlamycetin tetes mata 9,900 Botol 5 ml -
0059 Etakridin larutan 0,1% 2,354 Botol 300 ml -
0060 Etanol 70 % (Alkohol) 100 ml 20,500 Botol 1000ml 1
0061 Ethyl Chlorida 105,000 Botol 100 cc -
0062 Eugenol 45,833 Botol -
0063 FDC 1 299,200 Tablet -
0064 FDC 2 1,200,000 Tablet -
0065 Fenobarbital injeksi i.m./i.v. 50 mg/ml 1,888 Ampul -
0066 Fenobarbital tablet 30 mg 67 Tablet -
0067 Fenol Gliserol tetes telinga 10% 1,109 Botol -
0068 Fitomenadion (vit. K1) injeksi 10 mg - 1ml 1,723 Ampul 6
0069 Fitomenadion (vit.K1) tablet salut 10 mg 641 Tablet 40
0070 Folley catheter 8,495 Pcs -
0071 Furosemid tablet 40 mg 90 Tablet -
0072 Garam Oralit I serbuk, kombinasi : Natrium 0,52 g Kalium klorida 0,30 322 Sachet 15
0073 Gemfibrozil kapsul/kaplet 300 mg 306 Tablet -
0074 Gentamycin salep kulit 0,1% 1,469 Tube -
0075 Gentamisin Sulfat tetes mata 0,3% 3,194 Botol 5 ml -
0076 Gentian Violet larutan 1 % 985 Botol 10 ml -
0077 Glass lonomer cement (gc ix) 395,000 Set -
0078 Glibenklamid tablet 5 mg 59 Tablet -
0079 Gliseril guayakolat tablet 100 mg 28 Tablet 880
0080 Glukosa Larutan Infus 10 % Steril 6,300 Kolf 500 ml -
0081 Glukosa Larutan Infus 5 % Steril 5,844 Kolf 500ml -
0082 Griseofulvin tablet 125 mg 204 Tablet 90
0083 Haloperidol tablet 1,5 mg 64 Tablet -
0084 Handscoon 4,250 Pcs -
0085 Handscoon Gynaekologi 24,000 Pcs -
0086 Hemafort 777 Tablet 280
0087 Hepafix 89,000 Rol -
0088 Hidroklorotiazid (HCT) tablet 25 mg 40 Tablet -
0089 Hidrokortison krim 2,5 % 2,519 Tablet 10
0090 Ibuprofen tablet 200 mg 96 Tablet 250
0091 Ibuprofen tablet 400 mg 153 Tablet 140
0092 Infusion set anak 4,400 Pcs 5
0093 Infusion set Dewasa 3,850 Pcs 9
0094 Isosorbit dinitrat tablet sublungual 5 mg 101 Tablet -
0095 IV Catheter 20 8,566 Pcs 13
0096 IV Catheter 22 7,000 Pcs 15
0097 IV Catheter 24 8,566 Pcs 10
0098 Kalium Diklofenak tablet 50 mg 425 Tablet -
0099 Kalnex (Asam Tranexamat) injeksi 11,000 Ampul -
0100 Kalsium Hidroksida Pasta 220,000 Tube -
0101 Kalsium laktat (kalk) tablet 500 mg 51 Tablet 90
0102 Kanamicyn Injeksi 1 gr 8,965 Vial -
0103 Kapas pembalut/absorben 250 mg 7,500 Bungkus -
0104 Kaptopril 12,5 mg 63 Tablet 280
0105 Kaptopril 25 mg 94 Tablet 270
0106 Karbamazepin tablet 200 mg 267 Tablet -
0107 Kasa Elastis 4 Inci 11,000 Rol -
0108 Kasa Hidrofil steril uk. 16x16 (isi 16 Lembar) 584 Kotak -
0109 Kasa Kompres 40/40 Steril 1,393 Bungkus -
0110 Kasa pembalut 2 m x 80 cm 17,143 Rol -
0111 Kasa Pembalut Hidrofil 4 m x 10 cm 668 Rol -
0112 Kasa pembalut hidrofil 4 m x 15 cm 3,373 Rol -
0113 Kasa pembalut hidrofil 4 m x 3 cm 733 Rol -
0114 Kasa Pembalut Hidrofil 4 m x 5 cm 3,373 Rol -
0115 Ketorolac inj 30 mg 2,539 Ampul -
0116 Kina Tablet 814 Tablet -
0117 Klindamisin kapsul/kaplet 300 mg 579 Tablet -
0118 Kloramfenicol kapsul 250 mg 250 Kapsul -
0119 Kloramfenikol tetes telinga 3% 1,759 Botol 5 ml 2
0120 Kloramfenicol suspensi 125mg/5ml 4,016 Botol 60ml 7
0121 Kloramfenikol tetes mata 0,5 % 2,750 Botol 5ml -
0122 Klorfeniramin maleat (ctm) tablet 4 mg 23 Tablet -
0123 Klorokuin tablet 150 mg 64 Tablet -
0124 Klorokuin tablet 250 mg 112 Tablet -
0125 Klorpromazin hcl tablet salut 100 mg 146 Tablet -
0126 Kodein tablet 10 mg 517 Tablet -
0127 Komb. pirimetamin 25100
Sulfametoksazol mg+sulfadoksilin
mg 500 mg 700 Tablet -
0128 Trimetoprim 20 mg 79 Tablet 100
0129 Kotrimoksazol DOEN I (dewasa) kombinasi : Sulfametoksazol 400 mg , Trimetop 146 Tablet 210
0130 Kotrimoksazol Suspensi komb: 2,213 Botol 60ml 3
0131 Larutan Asam Asetat 6 % 15,730 Botol -
0132 Larutan asam sulfosalisilat 20% 1,179 Botol -
0133 Larutan Barium Klorida 2, 10 % 132,000 Botol -
0134 Larutan benedict 49,500 Botol -
0135 Larutan Fouchet 39,380 Botol -
0136 larutan Giemsa stain 132,000 Botol -
0137 Larutan HCL 0,1 % 14,116 Botol -
0138 Larutan Turk 20,000 Botol -
0139 Lidokain injeksi 2% 1,000 Ampul 13
0140 Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000-2ml 1,485 Ampul -
0141 Loperamid 2 mg 92 Tablet 90
0142 Linkomisin kapsul/kaplet 500 mg 607 Tablet -
0143 Magnesium Sulfat inj. (IV) 40% - 25 ml OTSU 4,800 Vial -
0144 Masker 1,238 Pcs 2
0145 Mebendazol 100 mg 248 Tablet -
0146 Metformin HCl tablet 500 mg 105 Tablet -
0147 Methylprednisolon tablet 4 mg 198 Tablet 160
0148 Metilergometrin maleat inj.0,200 mg - 1 ml 3,509 Ampul -
0149 Metilergometrin maleat tablet salut 0,125 133 Tablet 70
0150 Metoklopramide 10 mg 93 Tablet -
0151 Metoklopramide sirup 1,919 Botol 60 ml -
0152 Metronidazol tablet 500 mg 183 Tablet -
0153 Mikonazole krim/salep 2% 3,300 Tube 2
0154 Myomergin injeksi 3,800 Ampul -
0155 Natrium Diklofenak 25 mg 155 Tablet -
0156 Natrium Diklofenak 50 mg 206 Tablet 200
0157 Natrium klorida larutan infus 0,9 % steril 5,390 Kolf 500ml 1
0158 Needle 275 Pcs -
0159 Neo Diastop 1,357 Tablet -
0160 Neuropanstop 990 TAblet -
0161 Nifedipin 10 mg 118 Tablet 90
0162 Nistatin 100.000 iu/g tablet vaginal 448 Tablet 100
0163 Nistatin 500.000 ju/g tablet salut 704 Tablet -
0164 Novadiar Suspensi 7,455 Botol 60 ml -
0165 Novadium 15 Tablet -
0166 NOVAMAG (Antasida DOEN II Suspensi, Kombinasi) 6,364 Botol 60 ml -
0167 NOVAMOX (Amoksisilin Sirup Kering 125 mg/5 ml) 10,227 Botol 60 ml -
0168 NOVASTAN (Asam Mefenamat Kaplet 500 mg) 159 Tablet -
0169 Noza 463 Tablet -
0170 OBH 1,400 Botol 100ml -
0171 Oksitetrasiklin hcl inj.i.m. 50 mg/ml - 10 ml 2,267 Vial -
0172 Oksitetrasiklin hcl salep kulit 3 % 1,646 Tube -
0173 Oksitetrasiklin hcl salep mata 1% 1,680 Tube -
0174 Oksitosin (Pitogin) injeksi 10 ju/ml - 1 ml 5,290 Ampul 4
0175 Omeprazole caps 265 Kapsul 20
0176 Paraformaldehide 100 Botol -
0177 Parasetamol sirup 120 mg/5 ml 1,404 Botol 60ml 4
0178 Parasetamol tablet 500 mg 85 Tablet 260
0179 Pavaperin tab 40 mg 128 Tablet -
0180 Piracetam inj 3 mg/ 15 ml 4,700 Ampul -
0181 Piracetam tablet 400 mg 194 Tablet -
0182 Pirantel tablet score (base) 125 mg 288 Tablet 21
0183 Piridoksin hcl (B6) tablet 10 mg 16 Tablet -
0184 Piroksikam kapsul/kaplet/tablet 20 mg 92 Tablet -
0185 Plester 5 yard x 2 inch 23,625 Rol -
0186 Ponuric Tablet 1,252 Tablet -
0187 Prednison tablet 5 mg 57 Tablet 40
0188 Primaquin tablet 15 mg 125 Tablet -
0189 Propanolol 10 mg 85 Vial -
0190 Propiltiourasil tablet 100 mg 297 Tablet -
0191 Ranitidin 150 mg 119 Tablet 240
0192 Ranitidin Inj 1,157 Ampul 12
0193 Reserpin 0,1 mg Tablet 89 Tablet -
0194 Reserpin 0,25 mg Tablet 114 Tablet -
0195 Ringer laktat larutan infus steril 5,720 Kolf 500 ml 6
0196 Salbutamol tablet 2 mg 70 Tablet 150
0197 Salep 2 - 4 kombinasi 1,352 Pot 7
0198 Salisil bedak 2 % 1,180 Pcs 5
0199 Scabisid cream 7,700 Tube -
0200 Sefadroksil kapsul/kaplet 500 mg 521 Tablet -
0201 Sefadroksil sirup kering 125 mg/5ml 5,248 Botol 60 ml 7
0202 Sefotaksim injeksi 1 g 7,546 Vial -
0203 Seftriakson injeksi 1 g 2,578 Vial -
0204 Semen seng fosfat serbuk dan cairan 102,850 Set -
0205 Sianokobalamin (vit. B.12) inj. 500 mcp/ml 1,067 Ampul 10
0206 Sianokobalamin (Vit. B.12) tablet 15 Tablet 80
0207 Silk (Benang Bedah sutera) no 3.0 6,983 Pcs -
0208 Silver amalgam serbuk 65 - 75 % 227,311 Botol -
0209 Simetidin tablet 200 mg 106 Tablet -
0210 Simvastatin 10 mg 180 Tablet 70
0211 Siprofloksasin tablet 500 mg (sebagai HCl) 241 Tablet -
0212 Sisoprim tablet (Kotrimoksasol 480 mg) 436 Tablet -
0213 Stesolid suppositoria 5 mg 37,760 Suppositoria -
0214 Stesolid tablet 5 mg (Valdimex tab 5 mg) 1,690 Tablet -
0215 Stesolid Injeksi 5 mg 15,200 Ampul -
0216 Temporary stropping fletcher 34,000 Botol -
0217 Tetrasiklin hcl kapsul 250 mg 147 Kapsul 80
0218 Tetrasiklin hcl kapsul 500 mg 226 Kapsul -
0219 Tiamfenikol kapsul/kaplet 500 mg 440 Tablet -
0220 Tiamin (Vitamin B1) injeksi 100 mg/ml 750 Ampul -
0221 Tiamin (vit. B1) tablet 50 mg 85 Tablet 1,000
0222 Tramadol kapsul/kaplet/tablet 50 mg 196 Tablet -
0223 Tramadol injeksi 50 mg/ml 6,200 Ampul -
0224 Triheksifenidil hidroklorida tablet 2 mg 44 Tablet -
0225 Truvit syrup 13,000 Botol 60ml -
0226 Urine bag 4,000 Pcs -
0227 Vastarel (Vit Kombinasi B1, B6,B12) 509 Tablet -
0228 Vitamin B kompleks tablet 22 Tablet 40
0229 Wings nedlee 2,145 Pcs -
0230 Yodium povidon larutan 10 % 30 ml 2,100 Botol 30ml 3
0231 Yodium povidon larutan 10 % 60 ml 3,675 Botol 60ml -
0232 Zincare tablet (Zinc 20 mg) 2,907 Tablet -
0233 Zinc tablet 20 mg 494 Tablet 160
0234 Kasa 36m x 80 cm 60,720 Rol -
0235 Amoksisillin + Asam Klavulanat 5,040 Tablet -
0236 Siobion 1,067 Tablet -
0237 Salbutamol 4 mg Tablet 100
0238 Becefort sirup Botol 5
0239 Pirantel Sirup -
0240 Ketokonazole tablet -
0241 Hanscun steril -
0242 Sohobion injeksi -
0243 Metoklopramide 5 mg -
0244 Simvastatin 20 mg -
0245 Kloramfenikol salep mata -
0246 Etanol 70 % (Alkohol) 1000 ml -
0247 Lidokain injeksi 40 mg/2 ml -
0248 Miniaspi 80 mg / Asam acetilsalicilic Acid -
0249 Diazepam Rektal 5 mg -
0250 Oksitosin induxin -
0251 Piroksikam 10 mg -
0252 Polifix -
0253 Yodium povidon larutan 10 % 300 ml -
0254 Alcohol Swab CHG 0,5% -
0255 Policlean 500 ml -
0256 FM Crape Pembalut elastis/Gips -
0257 Antihemoroid -
0258 Lytacur Sirup -
0259 Farbion ijn -
0260 Pratopril / Piracetam inj 200mg -
0261 Chloramex/Kloramfenikol 500 mg -
0262 Stik Asam Urat -
0263 Stik Gula Darah -
0264 Stik Kolesterol -
0265 Hemafort/ FE -
0266 OAT Kategori 1 -
0267 Methisoprinol syrup -
0268 Salbutamol sulfat 4 mg -
0269 Consentrat cleaner -
0270 Diluents -
0271 Glucosa -
0272 GOT -
0273 GPT -
0274 Lyse -
0275 Test kehamilan -
0276 Ureum -
0277 Widal test -
0278 Creatinin -
0279 Kloramfenikol Tetes Telinga (Erlamicetyn) -
0280 Trifasicline Salep -
0281 Oksitetrasiklin HCl salep mata 1% (Terramicin) -
-

KUNJUNGAN
JUMLAH KUNJUNGAN RESEP JAMKESMAS BPJS
3 55

Mengetahui / Menyetujui Pengelolah Gudang


Kepala Puskesmas Puskesmas

SUGENG RAHARDJO MIRANTI A.Md,Far


Nip. 19630716 198803 1 012
B U F F E R
01 -
02 -
03 -
04 -
05 -
06 -
07 -
08 -
09 -
10 -
11 -
12 -
13 -
14 -
15 -
16 -
17 -
18 -
19 -
20 -
21 -
22 -
23 -
24 -
25 -
J K N
1 -
2 -
3 -
4 -
5 -
6 -
7 -
8 -
9 -
10 -
AR PERMINTAAN OBAT

PENERI- PERSE- PEMAK- SISA PERMIN- KET


MAAN DIAAN KAIAN STOK TAAN
6 7=(5+6) 8 9=(7-8) 11
#VALUE! #VALUE!
- 100 - 100
- -
- -
- -
21 4 17 5
- -
- 15 10 5 20
2 1 1 5
- -
- 210 70 140 100
100 100 100
- - 5
- -
- -
- -
70 20 50 50
6 6 6 5
300 130 170 100
- -
- -
- -
10 16 5 11 -
- 270 90 180 -
- - 10
- -
- -
- -
2 2 -
80 10 70 -
160 60 100 100
- -
- -
10 - 10 -
- -
- -
15 2 13 -
9 - 9
170 50 120 100
- -
- -
- -
- -
- -
- -
- -
- -
- -
5 2 3 5
230 - 230
- -
- -
- -
- -
- -
- -
6 - 6
- -
- -
1 1 - 2
- -
- -
- -
- -
- -
- -
- -
6 3 3 10
40 - 40 100
- -
- -
15 8 7 10
- -
- -
- -
- -
- -
- -
880 20 860 -
- -
- -
90 20 70
- -
5 5 3 2 10
- -
280 30 250 200
- -
- -
10 10
250 - 250
140 60 80 100
5 5
9 9
- - 100
13 13
15 15
10 10
- -
- -
- -
90 90
- -
1 1 1
280 30 250
270 60 210
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
2 2
7 1 6
- -
200 200 60 140
- -
- -
- -
- -
- -
100 100
210 10 200
3 3
- -
- -
- -
- -
- -
- -
- -
- -
13 1 12
- -
90 10 80
- -
- -
2 2 - 5
- -
- -
160 80 80
- -
70 10 60
- -
- -
- -
2 2
- -
- -
200 80 120 50
2 3 1 2
- -
- -
- -
90 90
100 100
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
4 1 3 10
20 20
- -
4 2 2 10
260 70 190
- -
- -
- -
21 21
- - 1,000
- -
- -
- -
40 40
- -
- -
- -
240 60 180
12 12
- -
- -
6 6
150 10 140
7 1 6
5 2 3
- -
100 100 100
7 - 7
- -
- -
- -
10 10
80 80
- -
- -
- -
70 70
- -
- -
- -
- -
- -
- -
80 80
- -
- -
- -
1,000 1,000
- -
- -
- -
- -
- -
- -
40 30 10
- -
3 1 2
- -
- -
160 40 120
- -
- -
- -
100 100
5 5
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -

N TOTAL
UMUM
63
5

25 FEBRUARI 2017
Penanggung Jawab

FIRDA ZAINI, A. Md, Keb


NRPTT. 19. 4 3500 723
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -

- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
KET : HANYA KOLOM BERWARNA KUNING YANG DIISI
Kode Puskesmas : :
Puskesmas :MALEI
Kecamatan :KECAMATAN BALAESANGTANJUNG LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT
Pustu / Polindes : (LPLPO)
Kabupaten :DONGGALA
Provinsi :SULAWESI TENGAH

HARGA SATU- STOK


KODE NAMA OBAT
(Rp) AN AWAL
1 2 3 4 5
0001 Acyclovir 200 mg 251 Tablet #VALUE!
0002 Acyclovir 400 mg 340 Tablet 100
0003 Acyclovir Krim 5% 2,367 Tube -
0004 Adona Injeksi 5 ml 16,940 Vial -
0005 Air Raksa Dental USE 103,536 Botol -
0006 Alat suntik sekali pakai 1 ml 993 Pcs 17
0007 Alat suntik sekali pakai 2,5 ml 944 Pcs -
0008 Alat suntik sekali pakai 3 ml 944 Pcs 5
0009 Alat suntik sekali pakai 5 ml 944 Pcs 1
0010 Albendazol 425 Tablet -
0011 Alopurinol tablet 100 mg 106 Tablet 140
0012 Ambroxol 30 mg 89 Tablet 100
0013 Ambroxol sy 15 mg/ml 2,722 Botol -
0014 Aminofilin inj 3,315 Ampul -
0015 Aminofilin tablet 200 mg 93 Tablet -
0016 Amitriptilin 127 Tablet -
0017 Amlodipin 10 mg 440 Tablet 50
0018 Amoksisikin Sirup kering 125mg/5ml 2,511 Botol 60ml 6
0019 Amoksisilin kaplet 500 mg 228 Kaplet 170
0020 Ampicilin Serbuk inj i.m/i.v 4,700 Vial -
0021 Ampisilin Kaplet 500 mg 407 Kaplet -
0022 Antalgin 500 mg 36 Tablet -
0023 Antasid syrup 2,065 Botol 60ml 11
0024 Antasida doen tablet kombinasi 73 Tablet 180
0025 Antifungi doen kombinasi 2,096 Pot -
0026 Antihemoroid doen kombinasi 2,000 Tube -
0027 Antimalaria DOEN kombinasi : Pirimetamin tablet 25 mg Sulfadoksin tablet 50 525 Tablet -
0028 Antimigren tablet : Ergotamin Tartrat 1 mg + Kofein 50 mg 135 Tablet -
0029 Aqua pro Inj Steril 5,900 Botol 2
0030 Asam Ascorbat (Vitamin C) tablet 50 mg 32 Tablet 70
0031 Asam mefenamat 500 mg 115 Tablet 100
0032 Atropin injeksi 1.m/i.v/s.k. 0,25 mg/ml 1,353 Ampul -
0033 Bacitracin cream 3,000 Tube -
0034 Betametason krim 0,1 % 1,670 Tube 10
0035 Bioplasenton 15,909 Tube -
0036 Bromhexin tablet 8 mg 39 Tablet -
0037 Catgut/benang bedah no.2/0-3/0 24,583 Pcs 13
0038 Deksametason Inj 1,850 Ampul 9
0039 Deksametason tablet 0,5 mg 81 Tablet 120
0040 Dekstrometorfan hbr sirup 10 mg/5 ml 1,467 Botol 60 ml -
0041 Dekstrometorfan tablet 15 mg 102 Tablet -
0042 Diazepam 2 mg 28 Tablet -
0043 Diazepam 5 mg 65 Tablet -
0044 Diazepam injeksi 5 mg/ml 2,578 Ampul -
0045 Difenhidramin injeksi i.m. 10 mg/ml (HCl) 1,045 Ampul -
0046 Digoksin tablet 0,25 mg 96 Tablet -
0047 Diltiazem HCl tablet 30 mg 129 Tablet -
0048 Doksisiklin Kapsul 100 mg 250 Kapsul -
0049 Domperidon suspensi 5 mg/5 ml 3,766 Botol 60ml 3
0050 Domperidon tablet 10 mg 192 Tablet 230
0051 Dulcolax Suppositoria 10 mg 23,200 Suppositoria -
0052 Efedrin HCl 25 mg 23 Tablet -
0053 Ekstrak belladon tablet 10 mg 42 Tablet -
0054 Epinefrin (Adrenalin) injeksi 0,1 % (sebagai HCl) 1,650 Ampul -
0055 Eritromisin kapsul 250 mg 462 Kapsul -
0056 Eritromisin kapsul/kaplet 500 mg 1,013 Tablet -
0057 Eritromisin sirup 200 mg/ 5 ml 7,581 Botol 60ml 6
0058 Erlamycetin tetes mata 9,900 Botol 5 ml -
0059 Etakridin larutan 0,1% 2,354 Botol 300 ml -
0060 Etanol 70 % (Alkohol) 100 ml 20,500 Botol 1000ml -
0061 Ethyl Chlorida 105,000 Botol 100 cc -
0062 Eugenol 45,833 Botol -
0063 FDC 1 299,200 Tablet -
0064 FDC 2 1,200,000 Tablet -
0065 Fenobarbital injeksi i.m./i.v. 50 mg/ml 1,888 Ampul -
0066 Fenobarbital tablet 30 mg 67 Tablet -
0067 Fenol Gliserol tetes telinga 10% 1,109 Botol -
0068 Fitomenadion (vit. K1) injeksi 10 mg - 1ml 1,723 Ampul 3
0069 Fitomenadion (vit.K1) tablet salut 10 mg 641 Tablet 40
0070 Folley catheter 8,495 Pcs -
0071 Furosemid tablet 40 mg 90 Tablet -
0072 Garam Oralit I serbuk, kombinasi : Natrium 0,52 g Kalium klorida 0,30 322 Sachet 7
0073 Gemfibrozil kapsul/kaplet 300 mg 306 Tablet -
0074 Gentamycin salep kulit 0,1% 1,469 Tube -
0075 Gentamisin Sulfat tetes mata 0,3% 3,194 Botol 5 ml -
0076 Gentian Violet larutan 1 % 985 Botol 10 ml -
0077 Glass lonomer cement (gc ix) 395,000 Set -
0078 Glibenklamid tablet 5 mg 59 Tablet -
0079 Gliseril guayakolat tablet 100 mg 28 Tablet 860
0080 Glukosa Larutan Infus 10 % Steril 6,300 Kolf 500 ml -
0081 Glukosa Larutan Infus 5 % Steril 5,844 Kolf 500ml -
0082 Griseofulvin tablet 125 mg 204 Tablet 70
0083 Haloperidol tablet 1,5 mg 64 Tablet -
0084 Handscoon 4,250 Pcs 2
0085 Handscoon Gynaekologi 24,000 Pcs -
0086 Hemafort 777 Tablet 250
0087 Hepafix 89,000 Rol -
0088 Hidroklorotiazid (HCT) tablet 25 mg 40 Tablet -
0089 Hidrokortison krim 2,5 % 2,519 Tablet 10
0090 Ibuprofen tablet 200 mg 96 Tablet 250
0091 Ibuprofen tablet 400 mg 153 Tablet 80
0092 Infusion set anak 4,400 Pcs 5
0093 Infusion set Dewasa 3,850 Pcs 9
0094 Isosorbit dinitrat tablet sublungual 5 mg 101 Tablet -
0095 IV Catheter 20 8,566 Pcs 13
0096 IV Catheter 22 7,000 Pcs 15
0097 IV Catheter 24 8,566 Pcs 10
0098 Kalium Diklofenak tablet 50 mg 425 Tablet -
0099 Kalnex (Asam Tranexamat) injeksi 11,000 Ampul -
0100 Kalsium Hidroksida Pasta 220,000 Tube -
0101 Kalsium laktat (kalk) tablet 500 mg 51 Tablet 90
0102 Kanamicyn Injeksi 1 gr 8,965 Vial -
0103 Kapas pembalut/absorben 250 mg 7,500 Bungkus 1
0104 Kaptopril 12,5 mg 63 Tablet 250
0105 Kaptopril 25 mg 94 Tablet 210
0106 Karbamazepin tablet 200 mg 267 Tablet -
0107 Kasa Elastis 4 Inci 11,000 Rol -
0108 Kasa Hidrofil steril uk. 16x16 (isi 16 Lembar) 584 Kotak -
0109 Kasa Kompres 40/40 Steril 1,393 Bungkus -
0110 Kasa pembalut 2 m x 80 cm 17,143 Rol -
0111 Kasa Pembalut Hidrofil 4 m x 10 cm 668 Rol -
0112 Kasa pembalut hidrofil 4 m x 15 cm 3,373 Rol -
0113 Kasa pembalut hidrofil 4 m x 3 cm 733 Rol -
0114 Kasa Pembalut Hidrofil 4 m x 5 cm 3,373 Rol -
0115 Ketorolac inj 30 mg 2,539 Ampul -
0116 Kina Tablet 814 Tablet -
0117 Klindamisin kapsul/kaplet 300 mg 579 Tablet -
0118 Kloramfenicol kapsul 250 mg 250 Kapsul -
0119 Kloramfenikol tetes telinga 3% 1,759 Botol 5 ml 2
0120 Kloramfenicol suspensi 125mg/5ml 4,016 Botol 60ml 6
0121 Kloramfenikol tetes mata 0,5 % 2,750 Botol 5ml -
0122 Klorfeniramin maleat (ctm) tablet 4 mg 23 Tablet 140
0123 Klorokuin tablet 150 mg 64 Tablet -
0124 Klorokuin tablet 250 mg 112 Tablet -
0125 Klorpromazin hcl tablet salut 100 mg 146 Tablet -
0126 Kodein tablet 10 mg 517 Tablet -
0127 Komb. pirimetamin 25100
Sulfametoksazol mg+sulfadoksilin
mg 500 mg 700 Tablet -
0128 Trimetoprim 20 mg 79 Tablet 100
0129 Kotrimoksazol DOEN I (dewasa) kombinasi : Sulfametoksazol 400 mg , Trimetop 146 Tablet 200
0130 Kotrimoksazol Suspensi komb: 2,213 Botol 60ml 3
0131 Larutan Asam Asetat 6 % 15,730 Botol -
0132 Larutan asam sulfosalisilat 20% 1,179 Botol -
0133 Larutan Barium Klorida 2, 10 % 132,000 Botol -
0134 Larutan benedict 49,500 Botol -
0135 Larutan Fouchet 39,380 Botol -
0136 larutan Giemsa stain 132,000 Botol -
0137 Larutan HCL 0,1 % 14,116 Botol -
0138 Larutan Turk 20,000 Botol -
0139 Lidokain injeksi 2% 1,000 Ampul 12
0140 Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000-2ml 1,485 Ampul -
0141 Loperamid 2 mg 92 Tablet 80
0142 Linkomisin kapsul/kaplet 500 mg 607 Tablet -
0143 Magnesium Sulfat inj. (IV) 40% - 25 ml OTSU 4,800 Vial -
0144 Masker 1,238 Pcs -
0145 Mebendazol 100 mg 248 Tablet -
0146 Metformin HCl tablet 500 mg 105 Tablet -
0147 Methylprednisolon tablet 4 mg 198 Tablet 80
0148 Metilergometrin maleat inj.0,200 mg - 1 ml 3,509 Ampul -
0149 Metilergometrin maleat tablet salut 0,125 133 Tablet 60
0150 Metoklopramide 10 mg 93 Tablet -
0151 Metoklopramide sirup 1,919 Botol 60 ml -
0152 Metronidazol tablet 500 mg 183 Tablet -
0153 Mikonazole krim/salep 2% 3,300 Tube 2
0154 Myomergin injeksi 3,800 Ampul -
0155 Natrium Diklofenak 25 mg 155 Tablet -
0156 Natrium Diklofenak 50 mg 206 Tablet 120
0157 Natrium klorida larutan infus 0,9 % steril 5,390 Kolf 500ml 2
0158 Needle 275 Pcs -
0159 Neo Diastop 1,357 Tablet -
0160 Neuropanstop 990 TAblet -
0161 Nifedipin 10 mg 118 Tablet 90
0162 Nistatin 100.000 iu/g tablet vaginal 448 Tablet 100
0163 Nistatin 500.000 ju/g tablet salut 704 Tablet -
0164 Novadiar Suspensi 7,455 Botol 60 ml -
0165 Novadium 15 Tablet -
0166 NOVAMAG (Antasida DOEN II Suspensi, Kombinasi) 6,364 Botol 60 ml -
0167 NOVAMOX (Amoksisilin Sirup Kering 125 mg/5 ml) 10,227 Botol 60 ml -
0168 NOVASTAN (Asam Mefenamat Kaplet 500 mg) 159 Tablet -
0169 Noza 463 Tablet -
0170 OBH 1,400 Botol 100ml -
0171 Oksitetrasiklin hcl inj.i.m. 50 mg/ml - 10 ml 2,267 Vial -
0172 Oksitetrasiklin hcl salep kulit 3 % 1,646 Tube -
0173 Oksitetrasiklin hcl salep mata 1% 1,680 Tube -
0174 Oksitosin (Pitogin) injeksi 10 ju/ml - 1 ml 5,290 Ampul 3
0175 Omeprazole caps 265 Kapsul 20
0176 Paraformaldehide 100 Botol -
0177 Parasetamol sirup 120 mg/5 ml 1,404 Botol 60ml 2
0178 Parasetamol tablet 500 mg 85 Tablet 190
0179 Pavaperin tab 40 mg 128 Tablet -
0180 Piracetam inj 3 mg/ 15 ml 4,700 Ampul -
0181 Piracetam tablet 400 mg 194 Tablet -
0182 Pirantel tablet score (base) 125 mg 288 Tablet 21
0183 Piridoksin hcl (B6) tablet 10 mg 16 Tablet -
0184 Piroksikam kapsul/kaplet/tablet 20 mg 92 Tablet -
0185 Plester 5 yard x 2 inch 23,625 Rol -
0186 Ponuric Tablet 1,252 Tablet -
0187 Prednison tablet 5 mg 57 Tablet 40
0188 Primaquin tablet 15 mg 125 Tablet -
0189 Propanolol 10 mg 85 Vial -
0190 Propiltiourasil tablet 100 mg 297 Tablet -
0191 Ranitidin 150 mg 119 Tablet 180
0192 Ranitidin Inj 1,157 Ampul 12
0193 Reserpin 0,1 mg Tablet 89 Tablet -
0194 Reserpin 0,25 mg Tablet 114 Tablet -
0195 Ringer laktat larutan infus steril 5,720 Kolf 500 ml 6
0196 Salbutamol tablet 2 mg 70 Tablet 140
0197 Salep 2 - 4 kombinasi 1,352 Pot 6
0198 Salisil bedak 2 % 1,180 Pcs 3
0199 Scabisid cream 7,700 Tube -
0200 Sefadroksil kapsul/kaplet 500 mg 521 Tablet 100
0201 Sefadroksil sirup kering 125 mg/5ml 5,248 Botol 60 ml 7
0202 Sefotaksim injeksi 1 g 7,546 Vial -
0203 Seftriakson injeksi 1 g 2,578 Vial -
0204 Semen seng fosfat serbuk dan cairan 102,850 Set -
0205 Sianokobalamin (vit. B.12) inj. 500 mcp/ml 1,067 Ampul 10
0206 Sianokobalamin (Vit. B.12) tablet 15 Tablet 80
0207 Silk (Benang Bedah sutera) no 3.0 6,983 Pcs -
0208 Silver amalgam serbuk 65 - 75 % 227,311 Botol -
0209 Simetidin tablet 200 mg 106 Tablet -
0210 Simvastatin 10 mg 180 Tablet 70
0211 Siprofloksasin tablet 500 mg (sebagai HCl) 241 Tablet -
0212 Sisoprim tablet (Kotrimoksasol 480 mg) 436 Tablet -
0213 Stesolid suppositoria 5 mg 37,760 Suppositoria -
0214 Stesolid tablet 5 mg (Valdimex tab 5 mg) 1,690 Tablet -
0215 Stesolid Injeksi 5 mg 15,200 Ampul -
0216 Temporary stropping fletcher 34,000 Botol -
0217 Tetrasiklin hcl kapsul 250 mg 147 Kapsul 80
0218 Tetrasiklin hcl kapsul 500 mg 226 Kapsul -
0219 Tiamfenikol kapsul/kaplet 500 mg 440 Tablet -
0220 Tiamin (Vitamin B1) injeksi 100 mg/ml 750 Ampul -
0221 Tiamin (vit. B1) tablet 50 mg 85 Tablet 1,000
0222 Tramadol kapsul/kaplet/tablet 50 mg 196 Tablet -
0223 Tramadol injeksi 50 mg/ml 6,200 Ampul -
0224 Triheksifenidil hidroklorida tablet 2 mg 44 Tablet -
0225 Truvit syrup 13,000 Botol 60ml -
0226 Urine bag 4,000 Pcs -
0227 Vastarel (Vit Kombinasi B1, B6,B12) 509 Tablet -
0228 Vitamin B kompleks tablet 22 Tablet 10
0229 Wings nedlee 2,145 Pcs -
0230 Yodium povidon larutan 10 % 30 ml 2,100 Botol 30ml 2
0231 Yodium povidon larutan 10 % 60 ml 3,675 Botol 60ml -
0232 Zincare tablet (Zinc 20 mg) 2,907 Tablet -
0233 Zinc tablet 20 mg 494 Tablet 120
0234 Kasa 36m x 80 cm 60,720 Rol -
0235 Amoksisillin + Asam Klavulanat 5,040 Tablet -
0236 Siobion 1,067 Tablet -
0237 Salbutamol 4 mg Tablet 100
0238 Becefort sirup Botol 5
0239 Pirantel Sirup -
0240 Ketokonazole tablet -
0241 Hanscun steril -
0242 Sohobion injeksi -
0243 Metoklopramide 5 mg -
0244 Simvastatin 20 mg -
0245 Kloramfenikol salep mata -
0246 Etanol 70 % (Alkohol) 1000 ml -
0247 Lidokain injeksi 40 mg/2 ml -
0248 Miniaspi 80 mg / Asam acetilsalicilic Acid -
0249 Diazepam Rektal 5 mg -
0250 Oksitosin induxin -
0251 Piroksikam 10 mg -
0252 Polifix -
0253 Yodium povidon larutan 10 % 300 ml -
0254 Alcohol Swab CHG 0,5% -
0255 Policlean 500 ml -
0256 FM Crape Pembalut elastis/Gips -
0257 Antihemoroid -
0258 Lytacur Sirup -
0259 Farbion ijn -
0260 Pratopril / Piracetam inj 200mg -
0261 Chloramex/Kloramfenikol 500 mg -
0262 Stik Asam Urat -
0263 Stik Gula Darah -
0264 Stik Kolesterol -
0265 Hemafort/ FE -
0266 OAT Kategori 1 -
0267 Methisoprinol syrup -
0268 Salbutamol sulfat 4 mg -
0269 Consentrat cleaner -
0270 Diluents -
0271 Glucosa -
0272 GOT -
0273 GPT -
0274 Lyse -
0275 Test kehamilan -
0276 Ureum -
0277 Widal test -
0278 Creatinin -
0279 Kloramfenikol Tetes Telinga (Erlamicetyn) -
0280 Trifasicline Salep -
0281 Oksitetrasiklin HCl salep mata 1% (Terramicin) -
-

KUNJUNGAN
JUMLAH KUNJUNGAN RESEP Gratis/sktm BPJS
7 46

Mengetahui / Menyetujui Pengelolah Gudang


Kepala Puskesmas Puskesmas

SUGENG RAHARDJO MIRANTI A.Md,Far


Nip. 19630716 198803 1 012
B U F F E R
01 -
02 -
03 -
04 -
05 -
06 -
07 -
08 -
09 -
10 -
11 -
12 -
13 -
14 -
15 -
16 -
17 -
18 -
19 -
20 -
21 -
22 -
23 -
24 -
25 -
J K N
1 -
2 -
3 -
4 -
5 -
6 -
7 -
8 -
9 -
10 -
AR PERMINTAAN OBAT

PENERI- PERSE- PEMAK- SISA PERMIN- KET


MAAN DIAAN KAIAN STOK TAAN
6 7=(5+6) 8 9=(7-8) 11
#VALUE! #VALUE!
- 100 - 100
- -
- -
- -
5 22 2 20
- -
20 25 10 15
5 6 - 6
- -
100 240 30 210
- 100 - 100
- -
- -
- -
- -
30 80 - 80
5 11 - 11
100 270 90 180
- -
- -
- -
- 11 5 6
- 180 60 120
- -
- -
- -
- -
- 2 - 2
- 70 10 60
100 200 70 130
- -
- -
- 10 1 9
- -
- -
- 13 1 12
- 9 - 9
100 220 50 170
- -
- -
- -
- -
- -
- -
- -
- -
- -
3 3
- 230 10 220
- -
- -
- -
- -
- -
- -
- 6 - 6
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
10 13 1 12
100 140 - 140
- -
- -
7 7
- -
- -
- -
- -
- -
- -
- 860 30 830
- -
- -
- 70 20 50
- -
5 7 2 5
- -
250 250
- -
- -
- 10 - 10
- 250 - 250
100 180 40 140
- 5 - 5
- 9 - 9
- -
- 13 - 13
10 25 25 5 kadaluarsa
- 10 - 10
- -
- -
- -
- 90 - 90
- -
- 1 1 -
- 250 50 200
- 210 10 200
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- 2 - 2
- 6 2 4
- -
- 140 80 60
- -
- -
- -
- -
- -
- 100 - 100
- 200 - 200
- 3 - 3
- -
- -
- -
- -
- -
- -
- -
- -
- 12 1 11
- -
- 80 - 80
- -
- -
- -
- -
- -
- 80 50 30
- -
- 60 10 50
- -
- -
- -
- 2 - 2
- -
- -
50 170 40 130
- 2 - 2
- -
- -
- -
- 90 - 90
- 100 - 100
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
10 13 1 12
30 50 - 50
- -
5 7 4 3 10
- 190 170 20 200
- -
- -
- -
- 21 - 21
- -
- -
- -
- -
- 40 - 40
- -
- -
- -
- 180 90 90 100
- 12 - 12
- -
- -
- 6 - 6 -
- 140 20 120 -
6 1 5
- 3 - 3
- -
- 100 20 80
- 7 - 7
- -
- -
- -
- 10 - 10
80 80
- -
- -
- -
- 70 - 70
- -
- -
- -
- -
- -
- -
- 80 - 80
- -
- -
- -
- 1,000 10 990
- -
- -
- -
- -
- -
- -
- 10 - 10
- -
- 2 2 - 5
- -
- -
- 120 - 120 -
- -
- -
- -
- 100 - 100 0
- 5 - 5 0
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -

N TOTAL
UMUM
56
3

,,,,,,,/,,,,,,,,,2017
Penanggung Jawab
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -

- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
KET : HANYA KOLOM BERWARNA KUNING YANG DIISI
Kode Puskesmas : :
Puskesmas :MALEI
Kecamatan :KECAMATAN BALAESANGTANJUNG LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT
Pustu / Polindes : (LPLPO)
Kabupaten :DONGGALA
Provinsi :SULAWESI TENGAH

HARGA SATU- STOK


KODE NAMA OBAT
(Rp) AN AWAL
1 2 3 4 5
0001 Acyclovir 200 mg 251 Tablet #VALUE!
0002 Acyclovir 400 mg 340 Tablet 100
0003 Acyclovir Krim 5% 2,367 Tube -
0004 Adona Injeksi 5 ml 16,940 Vial -
0005 Air Raksa Dental USE 103,536 Botol -
0006 Alat suntik sekali pakai 1 ml 993 Pcs 20
0007 Alat suntik sekali pakai 2,5 ml 944 Pcs -
0008 Alat suntik sekali pakai 3 ml 944 Pcs 15
0009 Alat suntik sekali pakai 5 ml 944 Pcs 6
0010 Albendazol 425 Tablet -
0011 Alopurinol tablet 100 mg 106 Tablet 210
0012 Ambroxol 30 mg 89 Tablet 100
0013 Ambroxol sy 15 mg/ml 2,722 Botol -
0014 Aminofilin inj 3,315 Ampul -
0015 Aminofilin tablet 200 mg 93 Tablet -
0016 Amitriptilin 127 Tablet -
0017 Amlodipin 10 mg 440 Tablet 80
0018 Amoksisikin Sirup kering 125mg/5ml 2,511 Botol 60ml 11
0019 Amoksisilin kaplet 500 mg 228 Kaplet 180
0020 Ampicilin Serbuk inj i.m/i.v 4,700 Vial -
0021 Ampisilin Kaplet 500 mg 407 Kaplet -
0022 Antalgin 500 mg 36 Tablet -
0023 Antasid syrup 2,065 Botol 60ml 6
0024 Antasida doen tablet kombinasi 73 Tablet 120
0025 Antifungi doen kombinasi 2,096 Pot -
0026 Antihemoroid doen kombinasi 2,000 Tube -
0027 Antimalaria DOEN kombinasi : Pirimetamin tablet 25 mg Sulfadoksin tablet 50 525 Tablet -
0028 Antimigren tablet : Ergotamin Tartrat 1 mg + Kofein 50 mg 135 Tablet -
0029 Aqua pro Inj Steril 5,900 Botol 2
0030 Asam Ascorbat (Vitamin C) tablet 50 mg 32 Tablet 60
0031 Asam mefenamat 500 mg 115 Tablet 130
0032 Atropin injeksi 1.m/i.v/s.k. 0,25 mg/ml 1,353 Ampul -
0033 Bacitracin cream 3,000 Tube -
0034 Betametason krim 0,1 % 1,670 Tube 9
0035 Bioplasenton 15,909 Tube -
0036 Bromhexin tablet 8 mg 39 Tablet -
0037 Catgut/benang bedah no.2/0-3/0 24,583 Pcs 12
0038 Deksametason Inj 1,850 Ampul 9
0039 Deksametason tablet 0,5 mg 81 Tablet 170
0040 Dekstrometorfan hbr sirup 10 mg/5 ml 1,467 Botol 60 ml -
0041 Dekstrometorfan tablet 15 mg 102 Tablet -
0042 Diazepam 2 mg 28 Tablet -
0043 Diazepam 5 mg 65 Tablet -
0044 Diazepam injeksi 5 mg/ml 2,578 Ampul -
0045 Difenhidramin injeksi i.m. 10 mg/ml (HCl) 1,045 Ampul -
0046 Digoksin tablet 0,25 mg 96 Tablet -
0047 Diltiazem HCl tablet 30 mg 129 Tablet -
0048 Doksisiklin Kapsul 100 mg 250 Kapsul -
0049 Domperidon suspensi 5 mg/5 ml 3,766 Botol 60ml 3
0050 Domperidon tablet 10 mg 192 Tablet 220
0051 Dulcolax Suppositoria 10 mg 23,200 Suppositoria -
0052 Efedrin HCl 25 mg 23 Tablet -
0053 Ekstrak belladon tablet 10 mg 42 Tablet -
0054 Epinefrin (Adrenalin) injeksi 0,1 % (sebagai HCl) 1,650 Ampul -
0055 Eritromisin kapsul 250 mg 462 Kapsul -
0056 Eritromisin kapsul/kaplet 500 mg 1,013 Tablet -
0057 Eritromisin sirup 200 mg/ 5 ml 7,581 Botol 60ml 6
0058 Erlamycetin tetes mata 9,900 Botol 5 ml -
0059 Etakridin larutan 0,1% 2,354 Botol 300 ml -
0060 Etanol 70 % (Alkohol) 100 ml 20,500 Botol 1000ml -
0061 Ethyl Chlorida 105,000 Botol 100 cc -
0062 Eugenol 45,833 Botol -
0063 FDC 1 299,200 Tablet -
0064 FDC 2 1,200,000 Tablet -
0065 Fenobarbital injeksi i.m./i.v. 50 mg/ml 1,888 Ampul -
0066 Fenobarbital tablet 30 mg 67 Tablet -
0067 Fenol Gliserol tetes telinga 10% 1,109 Botol -
0068 Fitomenadion (vit. K1) injeksi 10 mg - 1ml 1,723 Ampul 12
0069 Fitomenadion (vit.K1) tablet salut 10 mg 641 Tablet 140
0070 Folley catheter 8,495 Pcs -
0071 Furosemid tablet 40 mg 90 Tablet -
0072 Garam Oralit I serbuk, kombinasi : Natrium 0,52 g Kalium klorida 0,30 322 Sachet 7
0073 Gemfibrozil kapsul/kaplet 300 mg 306 Tablet -
0074 Gentamycin salep kulit 0,1% 1,469 Tube -
0075 Gentamisin Sulfat tetes mata 0,3% 3,194 Botol 5 ml -
0076 Gentian Violet larutan 1 % 985 Botol 10 ml -
0077 Glass lonomer cement (gc ix) 395,000 Set -
0078 Glibenklamid tablet 5 mg 59 Tablet -
0079 Gliseril guayakolat tablet 100 mg 28 Tablet 830
0080 Glukosa Larutan Infus 10 % Steril 6,300 Kolf 500 ml -
0081 Glukosa Larutan Infus 5 % Steril 5,844 Kolf 500ml -
0082 Griseofulvin tablet 125 mg 204 Tablet 50
0083 Haloperidol tablet 1,5 mg 64 Tablet -
0084 Handscoon 4,250 Pcs 5
0085 Handscoon Gynaekologi 24,000 Pcs -
0086 Hemafort 777 Tablet 250
0087 Hepafix 89,000 Rol -
0088 Hidroklorotiazid (HCT) tablet 25 mg 40 Tablet -
0089 Hidrokortison krim 2,5 % 2,519 Tablet 10
0090 Ibuprofen tablet 200 mg 96 Tablet 250
0091 Ibuprofen tablet 400 mg 153 Tablet 140
0092 Infusion set anak 4,400 Pcs 5
0093 Infusion set Dewasa 3,850 Pcs 9
0094 Isosorbit dinitrat tablet sublungual 5 mg 101 Tablet -
0095 IV Catheter 20 8,566 Pcs 13
0096 IV Catheter 22 7,000 Pcs 25
0097 IV Catheter 24 8,566 Pcs 10
0098 Kalium Diklofenak tablet 50 mg 425 Tablet -
0099 Kalnex (Asam Tranexamat) injeksi 11,000 Ampul -
0100 Kalsium Hidroksida Pasta 220,000 Tube -
0101 Kalsium laktat (kalk) tablet 500 mg 51 Tablet 90
0102 Kanamicyn Injeksi 1 gr 8,965 Vial -
0103 Kapas pembalut/absorben 250 mg 7,500 Bungkus -
0104 Kaptopril 12,5 mg 63 Tablet 200
0105 Kaptopril 25 mg 94 Tablet 200
0106 Karbamazepin tablet 200 mg 267 Tablet -
0107 Kasa Elastis 4 Inci 11,000 Rol -
0108 Kasa Hidrofil steril uk. 16x16 (isi 16 Lembar) 584 Kotak -
0109 Kasa Kompres 40/40 Steril 1,393 Bungkus -
0110 Kasa pembalut 2 m x 80 cm 17,143 Rol -
0111 Kasa Pembalut Hidrofil 4 m x 10 cm 668 Rol -
0112 Kasa pembalut hidrofil 4 m x 15 cm 3,373 Rol -
0113 Kasa pembalut hidrofil 4 m x 3 cm 733 Rol -
0114 Kasa Pembalut Hidrofil 4 m x 5 cm 3,373 Rol -
0115 Ketorolac inj 30 mg 2,539 Ampul -
0116 Kina Tablet 814 Tablet -
0117 Klindamisin kapsul/kaplet 300 mg 579 Tablet -
0118 Kloramfenicol kapsul 250 mg 250 Kapsul -
0119 Kloramfenikol tetes telinga 3% 1,759 Botol 5 ml 2
0120 Kloramfenicol suspensi 125mg/5ml 4,016 Botol 60ml 4
0121 Kloramfenikol tetes mata 0,5 % 2,750 Botol 5ml -
0122 Klorfeniramin maleat (ctm) tablet 4 mg 23 Tablet 60
0123 Klorokuin tablet 150 mg 64 Tablet -
0124 Klorokuin tablet 250 mg 112 Tablet -
0125 Klorpromazin hcl tablet salut 100 mg 146 Tablet -
0126 Kodein tablet 10 mg 517 Tablet -
0127 Komb. pirimetamin 25100
Sulfametoksazol mg+sulfadoksilin
mg 500 mg 700 Tablet -
0128 Trimetoprim 20 mg 79 Tablet 100
0129 Kotrimoksazol DOEN I (dewasa) kombinasi : Sulfametoksazol 400 mg , Trimetop 146 Tablet 200
0130 Kotrimoksazol Suspensi komb: 2,213 Botol 60ml 3
0131 Larutan Asam Asetat 6 % 15,730 Botol -
0132 Larutan asam sulfosalisilat 20% 1,179 Botol -
0133 Larutan Barium Klorida 2, 10 % 132,000 Botol -
0134 Larutan benedict 49,500 Botol -
0135 Larutan Fouchet 39,380 Botol -
0136 larutan Giemsa stain 132,000 Botol -
0137 Larutan HCL 0,1 % 14,116 Botol -
0138 Larutan Turk 20,000 Botol -
0139 Lidokain injeksi 2% 1,000 Ampul 11
0140 Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000-2ml 1,485 Ampul -
0141 Loperamid 2 mg 92 Tablet 80
0142 Linkomisin kapsul/kaplet 500 mg 607 Tablet -
0143 Magnesium Sulfat inj. (IV) 40% - 25 ml OTSU 4,800 Vial -
0144 Masker 1,238 Pcs -
0145 Mebendazol 100 mg 248 Tablet -
0146 Metformin HCl tablet 500 mg 105 Tablet -
0147 Methylprednisolon tablet 4 mg 198 Tablet 30
0148 Metilergometrin maleat inj.0,200 mg - 1 ml 3,509 Ampul -
0149 Metilergometrin maleat tablet salut 0,125 133 Tablet 50
0150 Metoklopramide 10 mg 93 Tablet -
0151 Metoklopramide sirup 1,919 Botol 60 ml -
0152 Metronidazol tablet 500 mg 183 Tablet -
0153 Mikonazole krim/salep 2% 3,300 Tube 2
0154 Myomergin injeksi 3,800 Ampul -
0155 Natrium Diklofenak 25 mg 155 Tablet -
0156 Natrium Diklofenak 50 mg 206 Tablet 130
0157 Natrium klorida larutan infus 0,9 % steril 5,390 Kolf 500ml 2
0158 Needle 275 Pcs -
0159 Neo Diastop 1,357 Tablet -
0160 Neuropanstop 990 TAblet -
0161 Nifedipin 10 mg 118 Tablet 90
0162 Nistatin 100.000 iu/g tablet vaginal 448 Tablet 100
0163 Nistatin 500.000 ju/g tablet salut 704 Tablet -
0164 Novadiar Suspensi 7,455 Botol 60 ml -
0165 Novadium 15 Tablet -
0166 NOVAMAG (Antasida DOEN II Suspensi, Kombinasi) 6,364 Botol 60 ml -
0167 NOVAMOX (Amoksisilin Sirup Kering 125 mg/5 ml) 10,227 Botol 60 ml -
0168 NOVASTAN (Asam Mefenamat Kaplet 500 mg) 159 Tablet -
0169 Noza 463 Tablet -
0170 OBH 1,400 Botol 100ml -
0171 Oksitetrasiklin hcl inj.i.m. 50 mg/ml - 10 ml 2,267 Vial -
0172 Oksitetrasiklin hcl salep kulit 3 % 1,646 Tube -
0173 Oksitetrasiklin hcl salep mata 1% 1,680 Tube -
0174 Oksitosin (Pitogin) injeksi 10 ju/ml - 1 ml 5,290 Ampul 12
0175 Omeprazole caps 265 Kapsul 50
0176 Paraformaldehide 100 Botol -
0177 Parasetamol sirup 120 mg/5 ml 1,404 Botol 60ml 3
0178 Parasetamol tablet 500 mg 85 Tablet 20
0179 Pavaperin tab 40 mg 128 Tablet -
0180 Piracetam inj 3 mg/ 15 ml 4,700 Ampul -
0181 Piracetam tablet 400 mg 194 Tablet -
0182 Pirantel tablet score (base) 125 mg 288 Tablet 21
0183 Piridoksin hcl (B6) tablet 10 mg 16 Tablet -
0184 Piroksikam kapsul/kaplet/tablet 20 mg 92 Tablet -
0185 Plester 5 yard x 2 inch 23,625 Rol -
0186 Ponuric Tablet 1,252 Tablet -
0187 Prednison tablet 5 mg 57 Tablet 40
0188 Primaquin tablet 15 mg 125 Tablet -
0189 Propanolol 10 mg 85 Vial -
0190 Propiltiourasil tablet 100 mg 297 Tablet -
0191 Ranitidin 150 mg 119 Tablet 90
0192 Ranitidin Inj 1,157 Ampul 12
0193 Reserpin 0,1 mg Tablet 89 Tablet -
0194 Reserpin 0,25 mg Tablet 114 Tablet -
0195 Ringer laktat larutan infus steril 5,720 Kolf 500 ml 6
0196 Salbutamol tablet 2 mg 70 Tablet 120
0197 Salep 2 - 4 kombinasi 1,352 Pot 5
0198 Salisil bedak 2 % 1,180 Pcs 3
0199 Scabisid cream 7,700 Tube -
0200 Sefadroksil kapsul/kaplet 500 mg 521 Tablet 80
0201 Sefadroksil sirup kering 125 mg/5ml 5,248 Botol 60 ml 7
0202 Sefotaksim injeksi 1 g 7,546 Vial -
0203 Seftriakson injeksi 1 g 2,578 Vial -
0204 Semen seng fosfat serbuk dan cairan 102,850 Set -
0205 Sianokobalamin (vit. B.12) inj. 500 mcp/ml 1,067 Ampul 10
0206 Sianokobalamin (Vit. B.12) tablet 15 Tablet 80
0207 Silk (Benang Bedah sutera) no 3.0 6,983 Pcs -
0208 Silver amalgam serbuk 65 - 75 % 227,311 Botol -
0209 Simetidin tablet 200 mg 106 Tablet -
0210 Simvastatin 10 mg 180 Tablet 70
0211 Siprofloksasin tablet 500 mg (sebagai HCl) 241 Tablet -
0212 Sisoprim tablet (Kotrimoksasol 480 mg) 436 Tablet -
0213 Stesolid suppositoria 5 mg 37,760 Suppositoria -
0214 Stesolid tablet 5 mg (Valdimex tab 5 mg) 1,690 Tablet -
0215 Stesolid Injeksi 5 mg 15,200 Ampul -
0216 Temporary stropping fletcher 34,000 Botol -
0217 Tetrasiklin hcl kapsul 250 mg 147 Kapsul 80
0218 Tetrasiklin hcl kapsul 500 mg 226 Kapsul -
0219 Tiamfenikol kapsul/kaplet 500 mg 440 Tablet -
0220 Tiamin (Vitamin B1) injeksi 100 mg/ml 750 Ampul -
0221 Tiamin (vit. B1) tablet 50 mg 85 Tablet 990
0222 Tramadol kapsul/kaplet/tablet 50 mg 196 Tablet -
0223 Tramadol injeksi 50 mg/ml 6,200 Ampul -
0224 Triheksifenidil hidroklorida tablet 2 mg 44 Tablet -
0225 Truvit syrup 13,000 Botol 60ml -
0226 Urine bag 4,000 Pcs -
0227 Vastarel (Vit Kombinasi B1, B6,B12) 509 Tablet -
0228 Vitamin B kompleks tablet 22 Tablet 10
0229 Wings nedlee 2,145 Pcs -
0230 Yodium povidon larutan 10 % 30 ml 2,100 Botol 30ml -
0231 Yodium povidon larutan 10 % 60 ml 3,675 Botol 60ml -
0232 Zincare tablet (Zinc 20 mg) 2,907 Tablet -
0233 Zinc tablet 20 mg 494 Tablet 120
0234 Kasa 36m x 80 cm 60,720 Rol -
0235 Amoksisillin + Asam Klavulanat 5,040 Tablet -
0236 Siobion 1,067 Tablet -
0237 Salbutamol 4 mg Tablet 100
0238 Becefort sirup Botol 5
0239 Pirantel Sirup -
0240 Ketokonazole tablet -
0241 Hanscun steril -
0242 Sohobion injeksi -
0243 Metoklopramide 5 mg -
0244 Simvastatin 20 mg -
0245 Kloramfenikol salep mata -
0246 Etanol 70 % (Alkohol) 1000 ml -
0247 Lidokain injeksi 40 mg/2 ml -
0248 Miniaspi 80 mg / Asam acetilsalicilic Acid -
0249 Diazepam Rektal 5 mg -
0250 Oksitosin induxin -
0251 Piroksikam 10 mg -
0252 Polifix -
0253 Yodium povidon larutan 10 % 300 ml -
0254 Alcohol Swab CHG 0,5% -
0255 Policlean 500 ml -
0256 FM Crape Pembalut elastis/Gips -
0257 Antihemoroid -
0258 Lytacur Sirup -
0259 Farbion ijn -
0260 Pratopril / Piracetam inj 200mg -
0261 Chloramex/Kloramfenikol 500 mg -
0262 Stik Asam Urat -
0263 Stik Gula Darah -
0264 Stik Kolesterol -
0265 Hemafort/ FE -
0266 OAT Kategori 1 -
0267 Methisoprinol syrup -
0268 Salbutamol sulfat 4 mg -
0269 Consentrat cleaner -
0270 Diluents -
0271 Glucosa -
0272 GOT -
0273 GPT -
0274 Lyse -
0275 Test kehamilan -
0276 Ureum -
0277 Widal test -
0278 Creatinin -
0279 Kloramfenikol Tetes Telinga (Erlamicetyn) -
0280 Trifasicline Salep -
0281 Oksitetrasiklin HCl salep mata 1% (Terramicin) -
-

KUNJUNGAN
JUMLAH KUNJUNGAN RESEP JAMKESMAS BPJS

Mengetahui / Menyetujui Pengelolah Gudang


Kepala Puskesmas Puskesmas

SUGENG RAHARDJO MIRANTI A.Md,Far


Nip. 19630716 198803 1 012
B U F F E R
01 -
02 -
03 -
04 -
05 -
06 -
07 -
08 -
09 -
10 -
11 -
12 -
13 -
14 -
15 -
16 -
17 -
18 -
19 -
20 -
21 -
22 -
23 -
24 -
25 -
J K N
1 -
2 -
3 -
4 -
5 -
6 -
7 -
8 -
9 -
10 -
AR PERMINTAAN OBAT

PENERI- PERSE- PEMAK- SISA PERMIN- KET


MAAN DIAAN KAIAN STOK TAAN
6 7=(5+6) 8 9=(7-8) 11
#VALUE! #VALUE!
- 100 - 100
- -
- -
- -
- 20 2 18
- -
- 15 15 20
- 6 1 5 -
- -
- 210 80 130 100
- 100 10 90 100
- - 5
- -
- -
- -
- 80 - 80 -
- 11 - 11 -
- 180 80 100 200
- -
- -
- -
- 6 5 1 5
- 120 120 - 200 KADALUARSA
- -
- -
- -
- -
- 2 - 2 -
- 60 10 50 -
- 130 110 20 200
- -
- -
- 9 3 6 5
- -
- -
- 12 - 12 -
- 9 - 9 -
- 170 130 40 200
- -
- -
- -
- -
- -
- -
- -
- -
- -
- 3 - 3 5
- 220 - 220 -
- -
- -
- -
- -
- -
- -
- 6 - 6 -
- - 5
- -
- - -
- - 1
- -
- -
- -
- -
- -
- -
- 12 3 9 10
- 140 - 140 -
- -
- -
100 107 2 105 -
- -
- -
- -
- - 5
- -
- -
- 830 30 800 -
- -
- -
- 50 - 50 100
- -
- 5 3 2 10
- -
- 250 150 100 300
- -
- -
- 10 - 10 -
- 250 10 240 -
- 140 130 10 100
- 5 - 5 -
- 9 - 9 -
- -
- 13 - 13 -
- 25 - 25 -
- 10 - 10 -
- -
- -
- -
- 90 - 90 -
- -
- -
- 200 60 140 -
- 200 20 180 -
- -
- -
- - 5
- -
- -
- -
- -
- -
- -
- -
- -
- -
- - 200
- 2 - 2 5
- 4 - 4 -
- -
- 60 60 - 200
- -
- -
- -
- -
- -
- 100 - 100 -
- 200 - 200 -
- 3 3 - - kadaluarsa
- -
- -
- -
- -
- -
- -
- -
- -
- 11 - 11 -
- -
- 80 - 80 -
- -
- -
- - 5
- -
- -
- 30 30 - 200
- -
- 50 10 40 100
- -
- -
- - 100
- 2 - 2 5
- -
- -
- 130 130 - 100
- 2 - 2 -
- -
- -
- -
- 90 - 90 -
- 100 - 100 -
- -
- -
- -
- -
- -
- -
- - 25
- - 5
- -
- - 5
- -
- 12 1 11 -
- 50 - 50 30
- -
- 3 - 3 5
300 320 50 270 -
- -
- -
- -
- 21 - 21 -
1,000 1,000 10 990 -
- - 100
- -
- -
- 40 - 40 -
- -
- -
- -
- 90 70 20 200
- 12 - 12 -
- -
- -
- 6 - 6 -
- 120 20 100 -
- 5 - 5 5
- 3 - 3 -
- -
- 80 20 60 100
- 7 - 7 -
- -
- -
- -
- 10 - 10 -
- 80 - 80 -
- -
- -
- -
- 70 - 70 -
- - 100
- -
- -
- -
- -
- -
- 80 - 80 -
- -
- -
- -
- 990 - 990 -
- -
- -
- -
- -
- -
- -
- 10 10 - -
- -
- - 6
- -
- -
- 120 120 - 100 kadaluarsa
- -
- -
- -
- 100 - 100 0
- 5 - 5 0
- -
- -
- -
- -
- -
- -
- -
- - 2
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- - 3
- - 5
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -

N TOTAL
UMUM

,,,,,,,/,,,,,,,,,2017
Penanggung Jawab
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -

- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
KET : HANYA KOLOM BERWARNA KUNING YANG DIISI
Kode Puskesmas : :
Puskesmas :MALEI
Kecamatan :KECAMATAN BALAESANGTANJUNG LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT
Pustu / Polindes : (LPLPO)
Kabupaten :DONGGALA
Provinsi :SULAWESI TENGAH

HARGA SATU- STOK


KODE NAMA OBAT
(Rp) AN AWAL
1 2 3 4 5
0001 Acyclovir 200 mg 251 Tablet #VALUE!
0002 Acyclovir 400 mg 340 Tablet 100
0003 Acyclovir Krim 5% 2,367 Tube -
0004 Adona Injeksi 5 ml 16,940 Vial -
0005 Air Raksa Dental USE 103,536 Botol -
0006 Alat suntik sekali pakai 1 ml 993 Pcs 18
0007 Alat suntik sekali pakai 2,5 ml 944 Pcs -
0008 Alat suntik sekali pakai 3 ml 944 Pcs 15
0009 Alat suntik sekali pakai 5 ml 944 Pcs 5
0010 Albendazol 425 Tablet -
0011 Alopurinol tablet 100 mg 106 Tablet 130
0012 Ambroxol 30 mg 89 Tablet 90
0013 Ambroxol sy 15 mg/ml 2,722 Botol -
0014 Aminofilin inj 3,315 Ampul -
0015 Aminofilin tablet 200 mg 93 Tablet -
0016 Amitriptilin 127 Tablet -
0017 Amlodipin 10 mg 440 Tablet 80
0018 Amoksisikin Sirup kering 125mg/5ml 2,511 Botol 60ml 11
0019 Amoksisilin kaplet 500 mg 228 Kaplet 100
0020 Ampicilin Serbuk inj i.m/i.v 4,700 Vial -
0021 Ampisilin Kaplet 500 mg 407 Kaplet -
0022 Antalgin 500 mg 36 Tablet -
0023 Antasid syrup 2,065 Botol 60ml 1
0024 Antasida doen tablet kombinasi 73 Tablet -
0025 Antifungi doen kombinasi 2,096 Pot -
0026 Antihemoroid doen kombinasi 2,000 Tube -
0027 Antimalaria DOEN kombinasi : Pirimetamin tablet 25 mg Sulfadoksin tablet 50 525 Tablet -
0028 Antimigren tablet : Ergotamin Tartrat 1 mg + Kofein 50 mg 135 Tablet -
0029 Aqua pro Inj Steril 5,900 Botol 2
0030 Asam Ascorbat (Vitamin C) tablet 50 mg 32 Tablet 50
0031 Asam mefenamat 500 mg 115 Tablet 20
0032 Atropin injeksi 1.m/i.v/s.k. 0,25 mg/ml 1,353 Ampul -
0033 Bacitracin cream 3,000 Tube -
0034 Betametason krim 0,1 % 1,670 Tube 6
0035 Bioplasenton 15,909 Tube -
0036 Bromhexin tablet 8 mg 39 Tablet -
0037 Catgut/benang bedah no.2/0-3/0 24,583 Pcs 12
0038 Deksametason Inj 1,850 Ampul 9
0039 Deksametason tablet 0,5 mg 81 Tablet 40
0040 Dekstrometorfan hbr sirup 10 mg/5 ml 1,467 Botol 60 ml -
0041 Dekstrometorfan tablet 15 mg 102 Tablet -
0042 Diazepam 2 mg 28 Tablet -
0043 Diazepam 5 mg 65 Tablet -
0044 Diazepam injeksi 5 mg/ml 2,578 Ampul -
0045 Difenhidramin injeksi i.m. 10 mg/ml (HCl) 1,045 Ampul -
0046 Digoksin tablet 0,25 mg 96 Tablet -
0047 Diltiazem HCl tablet 30 mg 129 Tablet -
0048 Doksisiklin Kapsul 100 mg 250 Kapsul -
0049 Domperidon suspensi 5 mg/5 ml 3,766 Botol 60ml 3
0050 Domperidon tablet 10 mg 192 Tablet 220
0051 Dulcolax Suppositoria 10 mg 23,200 Suppositoria -
0052 Efedrin HCl 25 mg 23 Tablet -
0053 Ekstrak belladon tablet 10 mg 42 Tablet -
0054 Epinefrin (Adrenalin) injeksi 0,1 % (sebagai HCl) 1,650 Ampul -
0055 Eritromisin kapsul 250 mg 462 Kapsul -
0056 Eritromisin kapsul/kaplet 500 mg 1,013 Tablet -
0057 Eritromisin sirup 200 mg/ 5 ml 7,581 Botol 60ml 6
0058 Erlamycetin tetes mata 9,900 Botol 5 ml -
0059 Etakridin larutan 0,1% 2,354 Botol 300 ml -
0060 Etanol 70 % (Alkohol) 100 ml 20,500 Botol 1000ml -
0061 Ethyl Chlorida 105,000 Botol 100 cc -
0062 Eugenol 45,833 Botol -
0063 FDC 1 299,200 Tablet -
0064 FDC 2 1,200,000 Tablet -
0065 Fenobarbital injeksi i.m./i.v. 50 mg/ml 1,888 Ampul -
0066 Fenobarbital tablet 30 mg 67 Tablet -
0067 Fenol Gliserol tetes telinga 10% 1,109 Botol -
0068 Fitomenadion (vit. K1) injeksi 10 mg - 1ml 1,723 Ampul 9
0069 Fitomenadion (vit.K1) tablet salut 10 mg 641 Tablet 140
0070 Folley catheter 8,495 Pcs -
0071 Furosemid tablet 40 mg 90 Tablet -
0072 Garam Oralit I serbuk, kombinasi : Natrium 0,52 g Kalium klorida 0,30 322 Sachet 105
0073 Gemfibrozil kapsul/kaplet 300 mg 306 Tablet -
0074 Gentamycin salep kulit 0,1% 1,469 Tube -
0075 Gentamisin Sulfat tetes mata 0,3% 3,194 Botol 5 ml -
0076 Gentian Violet larutan 1 % 985 Botol 10 ml -
0077 Glass lonomer cement (gc ix) 395,000 Set -
0078 Glibenklamid tablet 5 mg 59 Tablet -
0079 Gliseril guayakolat tablet 100 mg 28 Tablet 800
0080 Glukosa Larutan Infus 10 % Steril 6,300 Kolf 500 ml -
0081 Glukosa Larutan Infus 5 % Steril 5,844 Kolf 500ml -
0082 Griseofulvin tablet 125 mg 204 Tablet 50
0083 Haloperidol tablet 1,5 mg 64 Tablet -
0084 Handscoon 4,250 Pcs 2
0085 Handscoon Gynaekologi 24,000 Pcs -
0086 Hemafort 777 Tablet 100
0087 Hepafix 89,000 Rol -
0088 Hidroklorotiazid (HCT) tablet 25 mg 40 Tablet -
0089 Hidrokortison krim 2,5 % 2,519 Tablet 10
0090 Ibuprofen tablet 200 mg 96 Tablet 240
0091 Ibuprofen tablet 400 mg 153 Tablet 10
0092 Infusion set anak 4,400 Pcs 5
0093 Infusion set Dewasa 3,850 Pcs 9
0094 Isosorbit dinitrat tablet sublungual 5 mg 101 Tablet -
0095 IV Catheter 20 8,566 Pcs 13
0096 IV Catheter 22 7,000 Pcs 25
0097 IV Catheter 24 8,566 Pcs 10
0098 Kalium Diklofenak tablet 50 mg 425 Tablet -
0099 Kalnex (Asam Tranexamat) injeksi 11,000 Ampul -
0100 Kalsium Hidroksida Pasta 220,000 Tube -
0101 Kalsium laktat (kalk) tablet 500 mg 51 Tablet 90
0102 Kanamicyn Injeksi 1 gr 8,965 Vial -
0103 Kapas pembalut/absorben 250 mg 7,500 Bungkus -
0104 Kaptopril 12,5 mg 63 Tablet 140
0105 Kaptopril 25 mg 94 Tablet 180
0106 Karbamazepin tablet 200 mg 267 Tablet -
0107 Kasa Elastis 4 Inci 11,000 Rol -
0108 Kasa Hidrofil steril uk. 16x16 (isi 16 Lembar) 584 Kotak -
0109 Kasa Kompres 40/40 Steril 1,393 Bungkus -
0110 Kasa pembalut 2 m x 80 cm 17,143 Rol -
0111 Kasa Pembalut Hidrofil 4 m x 10 cm 668 Rol -
0112 Kasa pembalut hidrofil 4 m x 15 cm 3,373 Rol -
0113 Kasa pembalut hidrofil 4 m x 3 cm 733 Rol -
0114 Kasa Pembalut Hidrofil 4 m x 5 cm 3,373 Rol -
0115 Ketorolac inj 30 mg 2,539 Ampul -
0116 Kina Tablet 814 Tablet -
0117 Klindamisin kapsul/kaplet 300 mg 579 Tablet -
0118 Kloramfenicol kapsul 250 mg 250 Kapsul -
0119 Kloramfenikol tetes telinga 3% 1,759 Botol 5 ml 2
0120 Kloramfenicol suspensi 125mg/5ml 4,016 Botol 60ml 4
0121 Kloramfenikol tetes mata 0,5 % 2,750 Botol 5ml -
0122 Klorfeniramin maleat (ctm) tablet 4 mg 23 Tablet -
0123 Klorokuin tablet 150 mg 64 Tablet -
0124 Klorokuin tablet 250 mg 112 Tablet -
0125 Klorpromazin hcl tablet salut 100 mg 146 Tablet -
0126 Kodein tablet 10 mg 517 Tablet -
0127 Komb. pirimetamin 25100
Sulfametoksazol mg+sulfadoksilin
mg 500 mg 700 Tablet -
0128 Trimetoprim 20 mg 79 Tablet 100
0129 Kotrimoksazol DOEN I (dewasa) kombinasi : Sulfametoksazol 400 mg , Trimetop 146 Tablet 200
0130 Kotrimoksazol Suspensi komb: 2,213 Botol 60ml -
0131 Larutan Asam Asetat 6 % 15,730 Botol -
0132 Larutan asam sulfosalisilat 20% 1,179 Botol -
0133 Larutan Barium Klorida 2, 10 % 132,000 Botol -
0134 Larutan benedict 49,500 Botol -
0135 Larutan Fouchet 39,380 Botol -
0136 larutan Giemsa stain 132,000 Botol -
0137 Larutan HCL 0,1 % 14,116 Botol -
0138 Larutan Turk 20,000 Botol -
0139 Lidokain injeksi 2% 1,000 Ampul 11
0140 Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000-2ml 1,485 Ampul -
0141 Loperamid 2 mg 92 Tablet 80
0142 Linkomisin kapsul/kaplet 500 mg 607 Tablet -
0143 Magnesium Sulfat inj. (IV) 40% - 25 ml OTSU 4,800 Vial -
0144 Masker 1,238 Pcs -
0145 Mebendazol 100 mg 248 Tablet -
0146 Metformin HCl tablet 500 mg 105 Tablet -
0147 Methylprednisolon tablet 4 mg 198 Tablet -
0148 Metilergometrin maleat inj.0,200 mg - 1 ml 3,509 Ampul -
0149 Metilergometrin maleat tablet salut 0,125 133 Tablet 40
0150 Metoklopramide 10 mg 93 Tablet -
0151 Metoklopramide sirup 1,919 Botol 60 ml -
0152 Metronidazol tablet 500 mg 183 Tablet -
0153 Mikonazole krim/salep 2% 3,300 Tube 2
0154 Myomergin injeksi 3,800 Ampul -
0155 Natrium Diklofenak 25 mg 155 Tablet -
0156 Natrium Diklofenak 50 mg 206 Tablet -
0157 Natrium klorida larutan infus 0,9 % steril 5,390 Kolf 500ml 2
0158 Needle 275 Pcs -
0159 Neo Diastop 1,357 Tablet -
0160 Neuropanstop 990 TAblet -
0161 Nifedipin 10 mg 118 Tablet 90
0162 Nistatin 100.000 iu/g tablet vaginal 448 Tablet 100
0163 Nistatin 500.000 ju/g tablet salut 704 Tablet -
0164 Novadiar Suspensi 7,455 Botol 60 ml -
0165 Novadium 15 Tablet -
0166 NOVAMAG (Antasida DOEN II Suspensi, Kombinasi) 6,364 Botol 60 ml -
0167 NOVAMOX (Amoksisilin Sirup Kering 125 mg/5 ml) 10,227 Botol 60 ml -
0168 NOVASTAN (Asam Mefenamat Kaplet 500 mg) 159 Tablet -
0169 Noza 463 Tablet -
0170 OBH 1,400 Botol 100ml -
0171 Oksitetrasiklin hcl inj.i.m. 50 mg/ml - 10 ml 2,267 Vial -
0172 Oksitetrasiklin hcl salep kulit 3 % 1,646 Tube -
0173 Oksitetrasiklin hcl salep mata 1% 1,680 Tube -
0174 Oksitosin (Pitogin) injeksi 10 ju/ml - 1 ml 5,290 Ampul 11
0175 Omeprazole caps 265 Kapsul 50
0176 Paraformaldehide 100 Botol -
0177 Parasetamol sirup 120 mg/5 ml 1,404 Botol 60ml 3
0178 Parasetamol tablet 500 mg 85 Tablet 270
0179 Pavaperin tab 40 mg 128 Tablet -
0180 Piracetam inj 3 mg/ 15 ml 4,700 Ampul -
0181 Piracetam tablet 400 mg 194 Tablet -
0182 Pirantel tablet score (base) 125 mg 288 Tablet 21
0183 Piridoksin hcl (B6) tablet 10 mg 16 Tablet 990
0184 Piroksikam kapsul/kaplet/tablet 20 mg 92 Tablet -
0185 Plester 5 yard x 2 inch 23,625 Rol -
0186 Ponuric Tablet 1,252 Tablet -
0187 Prednison tablet 5 mg 57 Tablet 40
0188 Primaquin tablet 15 mg 125 Tablet -
0189 Propanolol 10 mg 85 Vial -
0190 Propiltiourasil tablet 100 mg 297 Tablet -
0191 Ranitidin 150 mg 119 Tablet 20
0192 Ranitidin Inj 1,157 Ampul 12
0193 Reserpin 0,1 mg Tablet 89 Tablet -
0194 Reserpin 0,25 mg Tablet 114 Tablet -
0195 Ringer laktat larutan infus steril 5,720 Kolf 500 ml 6
0196 Salbutamol tablet 2 mg 70 Tablet 100
0197 Salep 2 - 4 kombinasi 1,352 Pot 5
0198 Salisil bedak 2 % 1,180 Pcs 3
0199 Scabisid cream 7,700 Tube -
0200 Sefadroksil kapsul/kaplet 500 mg 521 Tablet 60
0201 Sefadroksil sirup kering 125 mg/5ml 5,248 Botol 60 ml 7
0202 Sefotaksim injeksi 1 g 7,546 Vial -
0203 Seftriakson injeksi 1 g 2,578 Vial -
0204 Semen seng fosfat serbuk dan cairan 102,850 Set -
0205 Sianokobalamin (vit. B.12) inj. 500 mcp/ml 1,067 Ampul 10
0206 Sianokobalamin (Vit. B.12) tablet 15 Tablet 80
0207 Silk (Benang Bedah sutera) no 3.0 6,983 Pcs -
0208 Silver amalgam serbuk 65 - 75 % 227,311 Botol -
0209 Simetidin tablet 200 mg 106 Tablet -
0210 Simvastatin 10 mg 180 Tablet 70
0211 Siprofloksasin tablet 500 mg (sebagai HCl) 241 Tablet -
0212 Sisoprim tablet (Kotrimoksasol 480 mg) 436 Tablet -
0213 Stesolid suppositoria 5 mg 37,760 Suppositoria -
0214 Stesolid tablet 5 mg (Valdimex tab 5 mg) 1,690 Tablet -
0215 Stesolid Injeksi 5 mg 15,200 Ampul -
0216 Temporary stropping fletcher 34,000 Botol -
0217 Tetrasiklin hcl kapsul 250 mg 147 Kapsul 80
0218 Tetrasiklin hcl kapsul 500 mg 226 Kapsul -
0219 Tiamfenikol kapsul/kaplet 500 mg 440 Tablet -
0220 Tiamin (Vitamin B1) injeksi 100 mg/ml 750 Ampul -
0221 Tiamin (vit. B1) tablet 50 mg 85 Tablet 990
0222 Tramadol kapsul/kaplet/tablet 50 mg 196 Tablet -
0223 Tramadol injeksi 50 mg/ml 6,200 Ampul -
0224 Triheksifenidil hidroklorida tablet 2 mg 44 Tablet -
0225 Truvit syrup 13,000 Botol 60ml -
0226 Urine bag 4,000 Pcs -
0227 Vastarel (Vit Kombinasi B1, B6,B12) 509 Tablet -
0228 Vitamin B kompleks tablet 22 Tablet -
0229 Wings nedlee 2,145 Pcs -
0230 Yodium povidon larutan 10 % 30 ml 2,100 Botol 30ml -
0231 Yodium povidon larutan 10 % 60 ml 3,675 Botol 60ml -
0232 Zincare tablet (Zinc 20 mg) 2,907 Tablet -
0233 Zinc tablet 20 mg 494 Tablet -
0234 Kasa 36m x 80 cm 60,720 Rol -
0235 Amoksisillin + Asam Klavulanat 5,040 Tablet -
0236 Siobion 1,067 Tablet -
0237 Salbutamol 4 mg Tablet 100
0238 Becefort sirup Botol 5
0239 Pirantel Sirup -
0240 Ketokonazole tablet -
0241 Hanscun steril -
0242 Sohobion injeksi -
0243 Metoklopramide 5 mg -
0244 Simvastatin 20 mg -
0245 Kloramfenikol salep mata -
0246 Etanol 70 % (Alkohol) 1000 ml -
0247 Lidokain injeksi 40 mg/2 ml -
0248 Miniaspi 80 mg / Asam acetilsalicilic Acid -
0249 Diazepam Rektal 5 mg -
0250 Oksitosin induxin -
0251 Piroksikam 10 mg -
0252 Polifix -
0253 Yodium povidon larutan 10 % 300 ml -
0254 Alcohol Swab CHG 0,5% -
0255 Policlean 500 ml -
0256 FM Crape Pembalut elastis/Gips -
0257 Antihemoroid -
0258 Lytacur Sirup -
0259 Farbion ijn -
0260 Pratopril / Piracetam inj 200mg -
0261 Chloramex/Kloramfenikol 500 mg -
0262 Stik Asam Urat -
0263 Stik Gula Darah -
0264 Stik Kolesterol -
0265 Hemafort/ FE -
0266 OAT Kategori 1 -
0267 Methisoprinol syrup -
0268 Salbutamol sulfat 4 mg -
0269 Consentrat cleaner -
0270 Diluents -
0271 Glucosa -
0272 GOT -
0273 GPT -
0274 Lyse -
0275 Test kehamilan -
0276 Ureum -
0277 Widal test -
0278 Creatinin -
0279 Kloramfenikol Tetes Telinga (Erlamicetyn) -
0280 Trifasicline Salep -
0281 Oksitetrasiklin HCl salep mata 1% (Terramicin) -
-

KUNJUNGAN
JUMLAH KUNJUNGAN RESEP JAMKESMAS BPJS

Mengetahui / Menyetujui Pengelolah Gudang


Kepala Puskesmas Puskesmas

SUGENG RAHARDJO MIRANTI A.Md,Far


Nip. 19630716 198803 1 012
B U F F E R
01 -
02 -
03 -
04 -
05 -
06 -
07 -
08 -
09 -
10 -
11 -
12 -
13 -
14 -
15 -
16 -
17 -
18 -
19 -
20 -
21 -
22 -
23 -
24 -
25 -
J K N
1 -
2 -
3 -
4 -
5 -
6 -
7 -
8 -
9 -
10 -
AR PERMINTAAN OBAT

PENERI- PERSE- PEMAK- SISA PERMIN- KET


MAAN DIAAN KAIAN STOK TAAN
6 7=(5+6) 8 9=(7-8) 11
#VALUE! #VALUE!
100 100
- -
- -
- -
18 18
- -
15 15
5 5
- -
130 130
90 90
- -
- -
- -
- -
80 80
11 11
100 100
- -
- -
- -
1 1
- -
- -
- -
- -
- -
2 2
50 50
20 20
- -
- -
6 6
- -
- -
12 12
9 9
40 40
- -
- -
- -
- -
- -
- -
- -
- -
- -
3 3
220 220
- -
- -
- -
- -
- -
- -
6 6
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
9 9
140 140
- -
- -
105 105
- -
- -
- -
- -
- -
- -
800 800
- -
- -
50 50
- -
2 2
- -
100 100
- -
- -
10 10
240 240
10 10
5 5
9 9
- -
13 13
25 25
10 10
- -
- -
- -
90 90
- -
- -
140 140
180 180
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
2 2
4 4
- -
- -
- -
- -
- -
- -
- -
100 100
200 200
- -
- -
- -
- -
- -
- -
- -
- -
- -
11 11
- -
80 80
- -
- -
- -
- -
- -
- -
- -
40 40
- -
- -
- -
2 2
- -
- -
- -
2 2
- -
- -
- -
90 90
100 100
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
11 11
50 50
- -
3 3
270 270
- -
- -
- -
21 21
990 990
- -
- -
- -
40 40
- -
- -
- -
20 20
12 12
- -
- -
6 6
100 100
5 5
3 3
- -
60 60
7 7
- -
- -
- -
10 10
80 80
- -
- -
- -
70 70
- -
- -
- -
- -
- -
- -
80 80
- -
- -
- -
990 990
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
100 100
5 5
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -

N TOTAL
UMUM

,,,,,,,/,,,,,,,,,2017
Penanggung Jawab
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -

- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
KET : HANYA KOLOM BERWARNA KUNING YANG DIISI
Kode Puskesmas : :
Puskesmas :MALEI
Kecamatan :KECAMATAN BALAESANGTANJUNG LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT
Pustu / Polindes : (LPLPO)
Kabupaten :DONGGALA
Provinsi :SULAWESI TENGAH

HARGA SATU- STOK


KODE NAMA OBAT
(Rp) AN AWAL
1 2 3 4 5
0001 Acyclovir 200 mg 251 Tablet #VALUE!
0002 Acyclovir 400 mg 340 Tablet 100
0003 Acyclovir Krim 5% 2,367 Tube -
0004 Adona Injeksi 5 ml 16,940 Vial -
0005 Air Raksa Dental USE 103,536 Botol -
0006 Alat suntik sekali pakai 1 ml 993 Pcs 18
0007 Alat suntik sekali pakai 2,5 ml 944 Pcs -
0008 Alat suntik sekali pakai 3 ml 944 Pcs 15
0009 Alat suntik sekali pakai 5 ml 944 Pcs 5
0010 Albendazol 425 Tablet -
0011 Alopurinol tablet 100 mg 106 Tablet 130
0012 Ambroxol 30 mg 89 Tablet 90
0013 Ambroxol sy 15 mg/ml 2,722 Botol -
0014 Aminofilin inj 3,315 Ampul -
0015 Aminofilin tablet 200 mg 93 Tablet -
0016 Amitriptilin 127 Tablet -
0017 Amlodipin 10 mg 440 Tablet 80
0018 Amoksisikin Sirup kering 125mg/5ml 2,511 Botol 60ml 11
0019 Amoksisilin kaplet 500 mg 228 Kaplet 100
0020 Ampicilin Serbuk inj i.m/i.v 4,700 Vial -
0021 Ampisilin Kaplet 500 mg 407 Kaplet -
0022 Antalgin 500 mg 36 Tablet -
0023 Antasid syrup 2,065 Botol 60ml 1
0024 Antasida doen tablet kombinasi 73 Tablet -
0025 Antifungi doen kombinasi 2,096 Pot -
0026 Antihemoroid doen kombinasi 2,000 Tube -
0027 Antimalaria DOEN kombinasi : Pirimetamin tablet 25 mg Sulfadoksin tablet 50 525 Tablet -
0028 Antimigren tablet : Ergotamin Tartrat 1 mg + Kofein 50 mg 135 Tablet -
0029 Aqua pro Inj Steril 5,900 Botol 2
0030 Asam Ascorbat (Vitamin C) tablet 50 mg 32 Tablet 50
0031 Asam mefenamat 500 mg 115 Tablet 20
0032 Atropin injeksi 1.m/i.v/s.k. 0,25 mg/ml 1,353 Ampul -
0033 Bacitracin cream 3,000 Tube -
0034 Betametason krim 0,1 % 1,670 Tube 6
0035 Bioplasenton 15,909 Tube -
0036 Bromhexin tablet 8 mg 39 Tablet -
0037 Catgut/benang bedah no.2/0-3/0 24,583 Pcs 12
0038 Deksametason Inj 1,850 Ampul 9
0039 Deksametason tablet 0,5 mg 81 Tablet 40
0040 Dekstrometorfan hbr sirup 10 mg/5 ml 1,467 Botol 60 ml -
0041 Dekstrometorfan tablet 15 mg 102 Tablet -
0042 Diazepam 2 mg 28 Tablet -
0043 Diazepam 5 mg 65 Tablet -
0044 Diazepam injeksi 5 mg/ml 2,578 Ampul -
0045 Difenhidramin injeksi i.m. 10 mg/ml (HCl) 1,045 Ampul -
0046 Digoksin tablet 0,25 mg 96 Tablet -
0047 Diltiazem HCl tablet 30 mg 129 Tablet -
0048 Doksisiklin Kapsul 100 mg 250 Kapsul -
0049 Domperidon suspensi 5 mg/5 ml 3,766 Botol 60ml 3
0050 Domperidon tablet 10 mg 192 Tablet 220
0051 Dulcolax Suppositoria 10 mg 23,200 Suppositoria -
0052 Efedrin HCl 25 mg 23 Tablet -
0053 Ekstrak belladon tablet 10 mg 42 Tablet -
0054 Epinefrin (Adrenalin) injeksi 0,1 % (sebagai HCl) 1,650 Ampul -
0055 Eritromisin kapsul 250 mg 462 Kapsul -
0056 Eritromisin kapsul/kaplet 500 mg 1,013 Tablet -
0057 Eritromisin sirup 200 mg/ 5 ml 7,581 Botol 60ml 6
0058 Erlamycetin tetes mata 9,900 Botol 5 ml -
0059 Etakridin larutan 0,1% 2,354 Botol 300 ml -
0060 Etanol 70 % (Alkohol) 100 ml 20,500 Botol 1000ml -
0061 Ethyl Chlorida 105,000 Botol 100 cc -
0062 Eugenol 45,833 Botol -
0063 FDC 1 299,200 Tablet -
0064 FDC 2 1,200,000 Tablet -
0065 Fenobarbital injeksi i.m./i.v. 50 mg/ml 1,888 Ampul -
0066 Fenobarbital tablet 30 mg 67 Tablet -
0067 Fenol Gliserol tetes telinga 10% 1,109 Botol -
0068 Fitomenadion (vit. K1) injeksi 10 mg - 1ml 1,723 Ampul 9
0069 Fitomenadion (vit.K1) tablet salut 10 mg 641 Tablet 140
0070 Folley catheter 8,495 Pcs -
0071 Furosemid tablet 40 mg 90 Tablet -
0072 Garam Oralit I serbuk, kombinasi : Natrium 0,52 g Kalium klorida 0,30 322 Sachet 105
0073 Gemfibrozil kapsul/kaplet 300 mg 306 Tablet -
0074 Gentamycin salep kulit 0,1% 1,469 Tube -
0075 Gentamisin Sulfat tetes mata 0,3% 3,194 Botol 5 ml -
0076 Gentian Violet larutan 1 % 985 Botol 10 ml -
0077 Glass lonomer cement (gc ix) 395,000 Set -
0078 Glibenklamid tablet 5 mg 59 Tablet -
0079 Gliseril guayakolat tablet 100 mg 28 Tablet 800
0080 Glukosa Larutan Infus 10 % Steril 6,300 Kolf 500 ml -
0081 Glukosa Larutan Infus 5 % Steril 5,844 Kolf 500ml -
0082 Griseofulvin tablet 125 mg 204 Tablet 50
0083 Haloperidol tablet 1,5 mg 64 Tablet -
0084 Handscoon 4,250 Pcs 2
0085 Handscoon Gynaekologi 24,000 Pcs -
0086 Hemafort 777 Tablet 100
0087 Hepafix 89,000 Rol -
0088 Hidroklorotiazid (HCT) tablet 25 mg 40 Tablet -
0089 Hidrokortison krim 2,5 % 2,519 Tablet 10
0090 Ibuprofen tablet 200 mg 96 Tablet 240
0091 Ibuprofen tablet 400 mg 153 Tablet 10
0092 Infusion set anak 4,400 Pcs 5
0093 Infusion set Dewasa 3,850 Pcs 9
0094 Isosorbit dinitrat tablet sublungual 5 mg 101 Tablet -
0095 IV Catheter 20 8,566 Pcs 13
0096 IV Catheter 22 7,000 Pcs 25
0097 IV Catheter 24 8,566 Pcs 10
0098 Kalium Diklofenak tablet 50 mg 425 Tablet -
0099 Kalnex (Asam Tranexamat) injeksi 11,000 Ampul -
0100 Kalsium Hidroksida Pasta 220,000 Tube -
0101 Kalsium laktat (kalk) tablet 500 mg 51 Tablet 90
0102 Kanamicyn Injeksi 1 gr 8,965 Vial -
0103 Kapas pembalut/absorben 250 mg 7,500 Bungkus -
0104 Kaptopril 12,5 mg 63 Tablet 140
0105 Kaptopril 25 mg 94 Tablet 180
0106 Karbamazepin tablet 200 mg 267 Tablet -
0107 Kasa Elastis 4 Inci 11,000 Rol -
0108 Kasa Hidrofil steril uk. 16x16 (isi 16 Lembar) 584 Kotak -
0109 Kasa Kompres 40/40 Steril 1,393 Bungkus -
0110 Kasa pembalut 2 m x 80 cm 17,143 Rol -
0111 Kasa Pembalut Hidrofil 4 m x 10 cm 668 Rol -
0112 Kasa pembalut hidrofil 4 m x 15 cm 3,373 Rol -
0113 Kasa pembalut hidrofil 4 m x 3 cm 733 Rol -
0114 Kasa Pembalut Hidrofil 4 m x 5 cm 3,373 Rol -
0115 Ketorolac inj 30 mg 2,539 Ampul -
0116 Kina Tablet 814 Tablet -
0117 Klindamisin kapsul/kaplet 300 mg 579 Tablet -
0118 Kloramfenicol kapsul 250 mg 250 Kapsul -
0119 Kloramfenikol tetes telinga 3% 1,759 Botol 5 ml 2
0120 Kloramfenicol suspensi 125mg/5ml 4,016 Botol 60ml 4
0121 Kloramfenikol tetes mata 0,5 % 2,750 Botol 5ml -
0122 Klorfeniramin maleat (ctm) tablet 4 mg 23 Tablet -
0123 Klorokuin tablet 150 mg 64 Tablet -
0124 Klorokuin tablet 250 mg 112 Tablet -
0125 Klorpromazin hcl tablet salut 100 mg 146 Tablet -
0126 Kodein tablet 10 mg 517 Tablet -
0127 Komb. pirimetamin 25100
Sulfametoksazol mg+sulfadoksilin
mg 500 mg 700 Tablet -
0128 Trimetoprim 20 mg 79 Tablet 100
0129 Kotrimoksazol DOEN I (dewasa) kombinasi : Sulfametoksazol 400 mg , Trimetop 146 Tablet 200
0130 Kotrimoksazol Suspensi komb: 2,213 Botol 60ml -
0131 Larutan Asam Asetat 6 % 15,730 Botol -
0132 Larutan asam sulfosalisilat 20% 1,179 Botol -
0133 Larutan Barium Klorida 2, 10 % 132,000 Botol -
0134 Larutan benedict 49,500 Botol -
0135 Larutan Fouchet 39,380 Botol -
0136 larutan Giemsa stain 132,000 Botol -
0137 Larutan HCL 0,1 % 14,116 Botol -
0138 Larutan Turk 20,000 Botol -
0139 Lidokain injeksi 2% 1,000 Ampul 11
0140 Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000-2ml 1,485 Ampul -
0141 Loperamid 2 mg 92 Tablet 80
0142 Linkomisin kapsul/kaplet 500 mg 607 Tablet -
0143 Magnesium Sulfat inj. (IV) 40% - 25 ml OTSU 4,800 Vial -
0144 Masker 1,238 Pcs -
0145 Mebendazol 100 mg 248 Tablet -
0146 Metformin HCl tablet 500 mg 105 Tablet -
0147 Methylprednisolon tablet 4 mg 198 Tablet -
0148 Metilergometrin maleat inj.0,200 mg - 1 ml 3,509 Ampul -
0149 Metilergometrin maleat tablet salut 0,125 133 Tablet 40
0150 Metoklopramide 10 mg 93 Tablet -
0151 Metoklopramide sirup 1,919 Botol 60 ml -
0152 Metronidazol tablet 500 mg 183 Tablet -
0153 Mikonazole krim/salep 2% 3,300 Tube 2
0154 Myomergin injeksi 3,800 Ampul -
0155 Natrium Diklofenak 25 mg 155 Tablet -
0156 Natrium Diklofenak 50 mg 206 Tablet -
0157 Natrium klorida larutan infus 0,9 % steril 5,390 Kolf 500ml 2
0158 Needle 275 Pcs -
0159 Neo Diastop 1,357 Tablet -
0160 Neuropanstop 990 TAblet -
0161 Nifedipin 10 mg 118 Tablet 90
0162 Nistatin 100.000 iu/g tablet vaginal 448 Tablet 100
0163 Nistatin 500.000 ju/g tablet salut 704 Tablet -
0164 Novadiar Suspensi 7,455 Botol 60 ml -
0165 Novadium 15 Tablet -
0166 NOVAMAG (Antasida DOEN II Suspensi, Kombinasi) 6,364 Botol 60 ml -
0167 NOVAMOX (Amoksisilin Sirup Kering 125 mg/5 ml) 10,227 Botol 60 ml -
0168 NOVASTAN (Asam Mefenamat Kaplet 500 mg) 159 Tablet -
0169 Noza 463 Tablet -
0170 OBH 1,400 Botol 100ml -
0171 Oksitetrasiklin hcl inj.i.m. 50 mg/ml - 10 ml 2,267 Vial -
0172 Oksitetrasiklin hcl salep kulit 3 % 1,646 Tube -
0173 Oksitetrasiklin hcl salep mata 1% 1,680 Tube -
0174 Oksitosin (Pitogin) injeksi 10 ju/ml - 1 ml 5,290 Ampul 11
0175 Omeprazole caps 265 Kapsul 50
0176 Paraformaldehide 100 Botol -
0177 Parasetamol sirup 120 mg/5 ml 1,404 Botol 60ml 3
0178 Parasetamol tablet 500 mg 85 Tablet 270
0179 Pavaperin tab 40 mg 128 Tablet -
0180 Piracetam inj 3 mg/ 15 ml 4,700 Ampul -
0181 Piracetam tablet 400 mg 194 Tablet -
0182 Pirantel tablet score (base) 125 mg 288 Tablet 21
0183 Piridoksin hcl (B6) tablet 10 mg 16 Tablet 990
0184 Piroksikam kapsul/kaplet/tablet 20 mg 92 Tablet -
0185 Plester 5 yard x 2 inch 23,625 Rol -
0186 Ponuric Tablet 1,252 Tablet -
0187 Prednison tablet 5 mg 57 Tablet 40
0188 Primaquin tablet 15 mg 125 Tablet -
0189 Propanolol 10 mg 85 Vial -
0190 Propiltiourasil tablet 100 mg 297 Tablet -
0191 Ranitidin 150 mg 119 Tablet 20
0192 Ranitidin Inj 1,157 Ampul 12
0193 Reserpin 0,1 mg Tablet 89 Tablet -
0194 Reserpin 0,25 mg Tablet 114 Tablet -
0195 Ringer laktat larutan infus steril 5,720 Kolf 500 ml 6
0196 Salbutamol tablet 2 mg 70 Tablet 100
0197 Salep 2 - 4 kombinasi 1,352 Pot 5
0198 Salisil bedak 2 % 1,180 Pcs 3
0199 Scabisid cream 7,700 Tube -
0200 Sefadroksil kapsul/kaplet 500 mg 521 Tablet 60
0201 Sefadroksil sirup kering 125 mg/5ml 5,248 Botol 60 ml 7
0202 Sefotaksim injeksi 1 g 7,546 Vial -
0203 Seftriakson injeksi 1 g 2,578 Vial -
0204 Semen seng fosfat serbuk dan cairan 102,850 Set -
0205 Sianokobalamin (vit. B.12) inj. 500 mcp/ml 1,067 Ampul 10
0206 Sianokobalamin (Vit. B.12) tablet 15 Tablet 80
0207 Silk (Benang Bedah sutera) no 3.0 6,983 Pcs -
0208 Silver amalgam serbuk 65 - 75 % 227,311 Botol -
0209 Simetidin tablet 200 mg 106 Tablet -
0210 Simvastatin 10 mg 180 Tablet 70
0211 Siprofloksasin tablet 500 mg (sebagai HCl) 241 Tablet -
0212 Sisoprim tablet (Kotrimoksasol 480 mg) 436 Tablet -
0213 Stesolid suppositoria 5 mg 37,760 Suppositoria -
0214 Stesolid tablet 5 mg (Valdimex tab 5 mg) 1,690 Tablet -
0215 Stesolid Injeksi 5 mg 15,200 Ampul -
0216 Temporary stropping fletcher 34,000 Botol -
0217 Tetrasiklin hcl kapsul 250 mg 147 Kapsul 80
0218 Tetrasiklin hcl kapsul 500 mg 226 Kapsul -
0219 Tiamfenikol kapsul/kaplet 500 mg 440 Tablet -
0220 Tiamin (Vitamin B1) injeksi 100 mg/ml 750 Ampul -
0221 Tiamin (vit. B1) tablet 50 mg 85 Tablet 990
0222 Tramadol kapsul/kaplet/tablet 50 mg 196 Tablet -
0223 Tramadol injeksi 50 mg/ml 6,200 Ampul -
0224 Triheksifenidil hidroklorida tablet 2 mg 44 Tablet -
0225 Truvit syrup 13,000 Botol 60ml -
0226 Urine bag 4,000 Pcs -
0227 Vastarel (Vit Kombinasi B1, B6,B12) 509 Tablet -
0228 Vitamin B kompleks tablet 22 Tablet -
0229 Wings nedlee 2,145 Pcs -
0230 Yodium povidon larutan 10 % 30 ml 2,100 Botol 30ml -
0231 Yodium povidon larutan 10 % 60 ml 3,675 Botol 60ml -
0232 Zincare tablet (Zinc 20 mg) 2,907 Tablet -
0233 Zinc tablet 20 mg 494 Tablet -
0234 Kasa 36m x 80 cm 60,720 Rol -
0235 Amoksisillin + Asam Klavulanat 5,040 Tablet -
0236 Siobion 1,067 Tablet -
0237 Salbutamol 4 mg Tablet 100
0238 Becefort sirup Botol 5
0239 Pirantel Sirup -
0240 Ketokonazole tablet -
0241 Hanscun steril -
0242 Sohobion injeksi -
0243 Metoklopramide 5 mg -
0244 Simvastatin 20 mg -
0245 Kloramfenikol salep mata -
0246 Etanol 70 % (Alkohol) 1000 ml -
0247 Lidokain injeksi 40 mg/2 ml -
0248 Miniaspi 80 mg / Asam acetilsalicilic Acid -
0249 Diazepam Rektal 5 mg -
0250 Oksitosin induxin -
0251 Piroksikam 10 mg -
0252 Polifix -
0253 Yodium povidon larutan 10 % 300 ml -
0254 Alcohol Swab CHG 0,5% -
0255 Policlean 500 ml -
0256 FM Crape Pembalut elastis/Gips -
0257 Antihemoroid -
0258 Lytacur Sirup -
0259 Farbion ijn -
0260 Pratopril / Piracetam inj 200mg -
0261 Chloramex/Kloramfenikol 500 mg -
0262 Stik Asam Urat -
0263 Stik Gula Darah -
0264 Stik Kolesterol -
0265 Hemafort/ FE -
0266 OAT Kategori 1 -
0267 Methisoprinol syrup -
0268 Salbutamol sulfat 4 mg -
0269 Consentrat cleaner -
0270 Diluents -
0271 Glucosa -
0272 GOT -
0273 GPT -
0274 Lyse -
0275 Test kehamilan -
0276 Ureum -
0277 Widal test -
0278 Creatinin -
0279 Kloramfenikol Tetes Telinga (Erlamicetyn) -
0280 Trifasicline Salep -
0281 Oksitetrasiklin HCl salep mata 1% (Terramicin) -
-

KUNJUNGAN
JUMLAH KUNJUNGAN RESEP JAMKESMAS BPJS

Mengetahui / Menyetujui Pengelolah Gudang


Kepala Puskesmas Puskesmas

SUGENG RAHARDJO MIRANTI A.Md,Far


Nip. 19630716 198803 1 012
B U F F E R
01 -
02 -
03 -
04 -
05 -
06 -
07 -
08 -
09 -
10 -
11 -
12 -
13 -
14 -
15 -
16 -
17 -
18 -
19 -
20 -
21 -
22 -
23 -
24 -
25 -
J K N
1 -
2 -
3 -
4 -
5 -
6 -
7 -
8 -
9 -
10 -
AR PERMINTAAN OBAT

PENERI- PERSE- PEMAK- SISA PERMIN- KET


MAAN DIAAN KAIAN STOK TAAN
6 7=(5+6) 8 9=(7-8) 11
#VALUE! #VALUE!
100 100
- -
- -
- -
18 18
- -
15 15
5 5
- -
130 130
90 90
- -
- -
- -
- -
80 80
11 11
100 100
- -
- -
- -
1 1
- -
- -
- -
- -
- -
2 2
50 50
20 20
- -
- -
6 6
- -
- -
12 12
9 9
40 40
- -
- -
- -
- -
- -
- -
- -
- -
- -
3 3
220 220
- -
- -
- -
- -
- -
- -
6 6
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
9 9
140 140
- -
- -
105 105
- -
- -
- -
- -
- -
- -
800 800
- -
- -
50 50
- -
2 2
- -
100 100
- -
- -
10 10
240 240
10 10
5 5
9 9
- -
13 13
25 25
10 10
- -
- -
- -
90 90
- -
- -
140 140
180 180
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
2 2
4 4
- -
- -
- -
- -
- -
- -
- -
100 100
200 200
- -
- -
- -
- -
- -
- -
- -
- -
- -
11 11
- -
80 80
- -
- -
- -
- -
- -
- -
- -
40 40
- -
- -
- -
2 2
- -
- -
- -
2 2
- -
- -
- -
90 90
100 100
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
11 11
50 50
- -
3 3
270 270
- -
- -
- -
21 21
990 990
- -
- -
- -
40 40
- -
- -
- -
20 20
12 12
- -
- -
6 6
100 100
5 5
3 3
- -
60 60
7 7
- -
- -
- -
10 10
80 80
- -
- -
- -
70 70
- -
- -
- -
- -
- -
- -
80 80
- -
- -
- -
990 990
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
100 100
5 5
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -

N TOTAL
UMUM

,,,,,,,/,,,,,,,,,2017
Penanggung Jawab
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -

- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
KET : HANYA KOLOM BERWARNA KUNING YANG DIISI
Kode Puskesmas : :
Puskesmas :MALEI
Kecamatan :KECAMATAN BALAESANGTANJUNG LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT
Pustu / Polindes : (LPLPO)
Kabupaten :DONGGALA
Provinsi :SULAWESI TENGAH

HARGA SATU- STOK


KODE NAMA OBAT
(Rp) AN AWAL
1 2 3 4 5
0001 Acyclovir 200 mg 251 Tablet #VALUE!
0002 Acyclovir 400 mg 340 Tablet 100
0003 Acyclovir Krim 5% 2,367 Tube -
0004 Adona Injeksi 5 ml 16,940 Vial -
0005 Air Raksa Dental USE 103,536 Botol -
0006 Alat suntik sekali pakai 1 ml 993 Pcs 18
0007 Alat suntik sekali pakai 2,5 ml 944 Pcs -
0008 Alat suntik sekali pakai 3 ml 944 Pcs 15
0009 Alat suntik sekali pakai 5 ml 944 Pcs 5
0010 Albendazol 425 Tablet -
0011 Alopurinol tablet 100 mg 106 Tablet 130
0012 Ambroxol 30 mg 89 Tablet 90
0013 Ambroxol sy 15 mg/ml 2,722 Botol -
0014 Aminofilin inj 3,315 Ampul -
0015 Aminofilin tablet 200 mg 93 Tablet -
0016 Amitriptilin 127 Tablet -
0017 Amlodipin 10 mg 440 Tablet 80
0018 Amoksisikin Sirup kering 125mg/5ml 2,511 Botol 60ml 11
0019 Amoksisilin kaplet 500 mg 228 Kaplet 100
0020 Ampicilin Serbuk inj i.m/i.v 4,700 Vial -
0021 Ampisilin Kaplet 500 mg 407 Kaplet -
0022 Antalgin 500 mg 36 Tablet -
0023 Antasid syrup 2,065 Botol 60ml 1
0024 Antasida doen tablet kombinasi 73 Tablet -
0025 Antifungi doen kombinasi 2,096 Pot -
0026 Antihemoroid doen kombinasi 2,000 Tube -
0027 Antimalaria DOEN kombinasi : Pirimetamin tablet 25 mg Sulfadoksin tablet 50 525 Tablet -
0028 Antimigren tablet : Ergotamin Tartrat 1 mg + Kofein 50 mg 135 Tablet -
0029 Aqua pro Inj Steril 5,900 Botol 2
0030 Asam Ascorbat (Vitamin C) tablet 50 mg 32 Tablet 50
0031 Asam mefenamat 500 mg 115 Tablet 20
0032 Atropin injeksi 1.m/i.v/s.k. 0,25 mg/ml 1,353 Ampul -
0033 Bacitracin cream 3,000 Tube -
0034 Betametason krim 0,1 % 1,670 Tube 6
0035 Bioplasenton 15,909 Tube -
0036 Bromhexin tablet 8 mg 39 Tablet -
0037 Catgut/benang bedah no.2/0-3/0 24,583 Pcs 12
0038 Deksametason Inj 1,850 Ampul 9
0039 Deksametason tablet 0,5 mg 81 Tablet 40
0040 Dekstrometorfan hbr sirup 10 mg/5 ml 1,467 Botol 60 ml -
0041 Dekstrometorfan tablet 15 mg 102 Tablet -
0042 Diazepam 2 mg 28 Tablet -
0043 Diazepam 5 mg 65 Tablet -
0044 Diazepam injeksi 5 mg/ml 2,578 Ampul -
0045 Difenhidramin injeksi i.m. 10 mg/ml (HCl) 1,045 Ampul -
0046 Digoksin tablet 0,25 mg 96 Tablet -
0047 Diltiazem HCl tablet 30 mg 129 Tablet -
0048 Doksisiklin Kapsul 100 mg 250 Kapsul -
0049 Domperidon suspensi 5 mg/5 ml 3,766 Botol 60ml 3
0050 Domperidon tablet 10 mg 192 Tablet 220
0051 Dulcolax Suppositoria 10 mg 23,200 Suppositoria -
0052 Efedrin HCl 25 mg 23 Tablet -
0053 Ekstrak belladon tablet 10 mg 42 Tablet -
0054 Epinefrin (Adrenalin) injeksi 0,1 % (sebagai HCl) 1,650 Ampul -
0055 Eritromisin kapsul 250 mg 462 Kapsul -
0056 Eritromisin kapsul/kaplet 500 mg 1,013 Tablet -
0057 Eritromisin sirup 200 mg/ 5 ml 7,581 Botol 60ml 6
0058 Erlamycetin tetes mata 9,900 Botol 5 ml -
0059 Etakridin larutan 0,1% 2,354 Botol 300 ml -
0060 Etanol 70 % (Alkohol) 100 ml 20,500 Botol 1000ml -
0061 Ethyl Chlorida 105,000 Botol 100 cc -
0062 Eugenol 45,833 Botol -
0063 FDC 1 299,200 Tablet -
0064 FDC 2 1,200,000 Tablet -
0065 Fenobarbital injeksi i.m./i.v. 50 mg/ml 1,888 Ampul -
0066 Fenobarbital tablet 30 mg 67 Tablet -
0067 Fenol Gliserol tetes telinga 10% 1,109 Botol -
0068 Fitomenadion (vit. K1) injeksi 10 mg - 1ml 1,723 Ampul 9
0069 Fitomenadion (vit.K1) tablet salut 10 mg 641 Tablet 140
0070 Folley catheter 8,495 Pcs -
0071 Furosemid tablet 40 mg 90 Tablet -
0072 Garam Oralit I serbuk, kombinasi : Natrium 0,52 g Kalium klorida 0,30 322 Sachet 105
0073 Gemfibrozil kapsul/kaplet 300 mg 306 Tablet -
0074 Gentamycin salep kulit 0,1% 1,469 Tube -
0075 Gentamisin Sulfat tetes mata 0,3% 3,194 Botol 5 ml -
0076 Gentian Violet larutan 1 % 985 Botol 10 ml -
0077 Glass lonomer cement (gc ix) 395,000 Set -
0078 Glibenklamid tablet 5 mg 59 Tablet -
0079 Gliseril guayakolat tablet 100 mg 28 Tablet 800
0080 Glukosa Larutan Infus 10 % Steril 6,300 Kolf 500 ml -
0081 Glukosa Larutan Infus 5 % Steril 5,844 Kolf 500ml -
0082 Griseofulvin tablet 125 mg 204 Tablet 50
0083 Haloperidol tablet 1,5 mg 64 Tablet -
0084 Handscoon 4,250 Pcs 2
0085 Handscoon Gynaekologi 24,000 Pcs -
0086 Hemafort 777 Tablet 100
0087 Hepafix 89,000 Rol -
0088 Hidroklorotiazid (HCT) tablet 25 mg 40 Tablet -
0089 Hidrokortison krim 2,5 % 2,519 Tablet 10
0090 Ibuprofen tablet 200 mg 96 Tablet 240
0091 Ibuprofen tablet 400 mg 153 Tablet 10
0092 Infusion set anak 4,400 Pcs 5
0093 Infusion set Dewasa 3,850 Pcs 9
0094 Isosorbit dinitrat tablet sublungual 5 mg 101 Tablet -
0095 IV Catheter 20 8,566 Pcs 13
0096 IV Catheter 22 7,000 Pcs 25
0097 IV Catheter 24 8,566 Pcs 10
0098 Kalium Diklofenak tablet 50 mg 425 Tablet -
0099 Kalnex (Asam Tranexamat) injeksi 11,000 Ampul -
0100 Kalsium Hidroksida Pasta 220,000 Tube -
0101 Kalsium laktat (kalk) tablet 500 mg 51 Tablet 90
0102 Kanamicyn Injeksi 1 gr 8,965 Vial -
0103 Kapas pembalut/absorben 250 mg 7,500 Bungkus -
0104 Kaptopril 12,5 mg 63 Tablet 140
0105 Kaptopril 25 mg 94 Tablet 180
0106 Karbamazepin tablet 200 mg 267 Tablet -
0107 Kasa Elastis 4 Inci 11,000 Rol -
0108 Kasa Hidrofil steril uk. 16x16 (isi 16 Lembar) 584 Kotak -
0109 Kasa Kompres 40/40 Steril 1,393 Bungkus -
0110 Kasa pembalut 2 m x 80 cm 17,143 Rol -
0111 Kasa Pembalut Hidrofil 4 m x 10 cm 668 Rol -
0112 Kasa pembalut hidrofil 4 m x 15 cm 3,373 Rol -
0113 Kasa pembalut hidrofil 4 m x 3 cm 733 Rol -
0114 Kasa Pembalut Hidrofil 4 m x 5 cm 3,373 Rol -
0115 Ketorolac inj 30 mg 2,539 Ampul -
0116 Kina Tablet 814 Tablet -
0117 Klindamisin kapsul/kaplet 300 mg 579 Tablet -
0118 Kloramfenicol kapsul 250 mg 250 Kapsul -
0119 Kloramfenikol tetes telinga 3% 1,759 Botol 5 ml 2
0120 Kloramfenicol suspensi 125mg/5ml 4,016 Botol 60ml 4
0121 Kloramfenikol tetes mata 0,5 % 2,750 Botol 5ml -
0122 Klorfeniramin maleat (ctm) tablet 4 mg 23 Tablet -
0123 Klorokuin tablet 150 mg 64 Tablet -
0124 Klorokuin tablet 250 mg 112 Tablet -
0125 Klorpromazin hcl tablet salut 100 mg 146 Tablet -
0126 Kodein tablet 10 mg 517 Tablet -
0127 Komb. pirimetamin 25100
Sulfametoksazol mg+sulfadoksilin
mg 500 mg 700 Tablet -
0128 Trimetoprim 20 mg 79 Tablet 100
0129 Kotrimoksazol DOEN I (dewasa) kombinasi : Sulfametoksazol 400 mg , Trimetop 146 Tablet 200
0130 Kotrimoksazol Suspensi komb: 2,213 Botol 60ml -
0131 Larutan Asam Asetat 6 % 15,730 Botol -
0132 Larutan asam sulfosalisilat 20% 1,179 Botol -
0133 Larutan Barium Klorida 2, 10 % 132,000 Botol -
0134 Larutan benedict 49,500 Botol -
0135 Larutan Fouchet 39,380 Botol -
0136 larutan Giemsa stain 132,000 Botol -
0137 Larutan HCL 0,1 % 14,116 Botol -
0138 Larutan Turk 20,000 Botol -
0139 Lidokain injeksi 2% 1,000 Ampul 11
0140 Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000-2ml 1,485 Ampul -
0141 Loperamid 2 mg 92 Tablet 80
0142 Linkomisin kapsul/kaplet 500 mg 607 Tablet -
0143 Magnesium Sulfat inj. (IV) 40% - 25 ml OTSU 4,800 Vial -
0144 Masker 1,238 Pcs -
0145 Mebendazol 100 mg 248 Tablet -
0146 Metformin HCl tablet 500 mg 105 Tablet -
0147 Methylprednisolon tablet 4 mg 198 Tablet -
0148 Metilergometrin maleat inj.0,200 mg - 1 ml 3,509 Ampul -
0149 Metilergometrin maleat tablet salut 0,125 133 Tablet 40
0150 Metoklopramide 10 mg 93 Tablet -
0151 Metoklopramide sirup 1,919 Botol 60 ml -
0152 Metronidazol tablet 500 mg 183 Tablet -
0153 Mikonazole krim/salep 2% 3,300 Tube 2
0154 Myomergin injeksi 3,800 Ampul -
0155 Natrium Diklofenak 25 mg 155 Tablet -
0156 Natrium Diklofenak 50 mg 206 Tablet -
0157 Natrium klorida larutan infus 0,9 % steril 5,390 Kolf 500ml 2
0158 Needle 275 Pcs -
0159 Neo Diastop 1,357 Tablet -
0160 Neuropanstop 990 TAblet -
0161 Nifedipin 10 mg 118 Tablet 90
0162 Nistatin 100.000 iu/g tablet vaginal 448 Tablet 100
0163 Nistatin 500.000 ju/g tablet salut 704 Tablet -
0164 Novadiar Suspensi 7,455 Botol 60 ml -
0165 Novadium 15 Tablet -
0166 NOVAMAG (Antasida DOEN II Suspensi, Kombinasi) 6,364 Botol 60 ml -
0167 NOVAMOX (Amoksisilin Sirup Kering 125 mg/5 ml) 10,227 Botol 60 ml -
0168 NOVASTAN (Asam Mefenamat Kaplet 500 mg) 159 Tablet -
0169 Noza 463 Tablet -
0170 OBH 1,400 Botol 100ml -
0171 Oksitetrasiklin hcl inj.i.m. 50 mg/ml - 10 ml 2,267 Vial -
0172 Oksitetrasiklin hcl salep kulit 3 % 1,646 Tube -
0173 Oksitetrasiklin hcl salep mata 1% 1,680 Tube -
0174 Oksitosin (Pitogin) injeksi 10 ju/ml - 1 ml 5,290 Ampul 11
0175 Omeprazole caps 265 Kapsul 50
0176 Paraformaldehide 100 Botol -
0177 Parasetamol sirup 120 mg/5 ml 1,404 Botol 60ml 3
0178 Parasetamol tablet 500 mg 85 Tablet 270
0179 Pavaperin tab 40 mg 128 Tablet -
0180 Piracetam inj 3 mg/ 15 ml 4,700 Ampul -
0181 Piracetam tablet 400 mg 194 Tablet -
0182 Pirantel tablet score (base) 125 mg 288 Tablet 21
0183 Piridoksin hcl (B6) tablet 10 mg 16 Tablet 990
0184 Piroksikam kapsul/kaplet/tablet 20 mg 92 Tablet -
0185 Plester 5 yard x 2 inch 23,625 Rol -
0186 Ponuric Tablet 1,252 Tablet -
0187 Prednison tablet 5 mg 57 Tablet 40
0188 Primaquin tablet 15 mg 125 Tablet -
0189 Propanolol 10 mg 85 Vial -
0190 Propiltiourasil tablet 100 mg 297 Tablet -
0191 Ranitidin 150 mg 119 Tablet 20
0192 Ranitidin Inj 1,157 Ampul 12
0193 Reserpin 0,1 mg Tablet 89 Tablet -
0194 Reserpin 0,25 mg Tablet 114 Tablet -
0195 Ringer laktat larutan infus steril 5,720 Kolf 500 ml 6
0196 Salbutamol tablet 2 mg 70 Tablet 100
0197 Salep 2 - 4 kombinasi 1,352 Pot 5
0198 Salisil bedak 2 % 1,180 Pcs 3
0199 Scabisid cream 7,700 Tube -
0200 Sefadroksil kapsul/kaplet 500 mg 521 Tablet 60
0201 Sefadroksil sirup kering 125 mg/5ml 5,248 Botol 60 ml 7
0202 Sefotaksim injeksi 1 g 7,546 Vial -
0203 Seftriakson injeksi 1 g 2,578 Vial -
0204 Semen seng fosfat serbuk dan cairan 102,850 Set -
0205 Sianokobalamin (vit. B.12) inj. 500 mcp/ml 1,067 Ampul 10
0206 Sianokobalamin (Vit. B.12) tablet 15 Tablet 80
0207 Silk (Benang Bedah sutera) no 3.0 6,983 Pcs -
0208 Silver amalgam serbuk 65 - 75 % 227,311 Botol -
0209 Simetidin tablet 200 mg 106 Tablet -
0210 Simvastatin 10 mg 180 Tablet 70
0211 Siprofloksasin tablet 500 mg (sebagai HCl) 241 Tablet -
0212 Sisoprim tablet (Kotrimoksasol 480 mg) 436 Tablet -
0213 Stesolid suppositoria 5 mg 37,760 Suppositoria -
0214 Stesolid tablet 5 mg (Valdimex tab 5 mg) 1,690 Tablet -
0215 Stesolid Injeksi 5 mg 15,200 Ampul -
0216 Temporary stropping fletcher 34,000 Botol -
0217 Tetrasiklin hcl kapsul 250 mg 147 Kapsul 80
0218 Tetrasiklin hcl kapsul 500 mg 226 Kapsul -
0219 Tiamfenikol kapsul/kaplet 500 mg 440 Tablet -
0220 Tiamin (Vitamin B1) injeksi 100 mg/ml 750 Ampul -
0221 Tiamin (vit. B1) tablet 50 mg 85 Tablet 990
0222 Tramadol kapsul/kaplet/tablet 50 mg 196 Tablet -
0223 Tramadol injeksi 50 mg/ml 6,200 Ampul -
0224 Triheksifenidil hidroklorida tablet 2 mg 44 Tablet -
0225 Truvit syrup 13,000 Botol 60ml -
0226 Urine bag 4,000 Pcs -
0227 Vastarel (Vit Kombinasi B1, B6,B12) 509 Tablet -
0228 Vitamin B kompleks tablet 22 Tablet -
0229 Wings nedlee 2,145 Pcs -
0230 Yodium povidon larutan 10 % 30 ml 2,100 Botol 30ml -
0231 Yodium povidon larutan 10 % 60 ml 3,675 Botol 60ml -
0232 Zincare tablet (Zinc 20 mg) 2,907 Tablet -
0233 Zinc tablet 20 mg 494 Tablet -
0234 Kasa 36m x 80 cm 60,720 Rol -
0235 Amoksisillin + Asam Klavulanat 5,040 Tablet -
0236 Siobion 1,067 Tablet -
0237 Salbutamol 4 mg Tablet 100
0238 Becefort sirup Botol 5
0239 Pirantel Sirup -
0240 Ketokonazole tablet -
0241 Hanscun steril -
0242 Sohobion injeksi -
0243 Metoklopramide 5 mg -
0244 Simvastatin 20 mg -
0245 Kloramfenikol salep mata -
0246 Etanol 70 % (Alkohol) 1000 ml -
0247 Lidokain injeksi 40 mg/2 ml -
0248 Miniaspi 80 mg / Asam acetilsalicilic Acid -
0249 Diazepam Rektal 5 mg -
0250 Oksitosin induxin -
0251 Piroksikam 10 mg -
0252 Polifix -
0253 Yodium povidon larutan 10 % 300 ml -
0254 Alcohol Swab CHG 0,5% -
0255 Policlean 500 ml -
0256 FM Crape Pembalut elastis/Gips -
0257 Antihemoroid -
0258 Lytacur Sirup -
0259 Farbion ijn -
0260 Pratopril / Piracetam inj 200mg -
0261 Chloramex/Kloramfenikol 500 mg -
0262 Stik Asam Urat -
0263 Stik Gula Darah -
0264 Stik Kolesterol -
0265 Hemafort/ FE -
0266 OAT Kategori 1 -
0267 Methisoprinol syrup -
0268 Salbutamol sulfat 4 mg -
0269 Consentrat cleaner -
0270 Diluents -
0271 Glucosa -
0272 GOT -
0273 GPT -
0274 Lyse -
0275 Test kehamilan -
0276 Ureum -
0277 Widal test -
0278 Creatinin -
0279 Kloramfenikol Tetes Telinga (Erlamicetyn) -
0280 Trifasicline Salep -
0281 Oksitetrasiklin HCl salep mata 1% (Terramicin) -
-

KUNJUNGAN
JUMLAH KUNJUNGAN RESEP JAMKESMAS BPJS

Mengetahui / Menyetujui Pengelolah Gudang


Kepala Puskesmas Puskesmas

SUGENG RAHARDJO MIRANTI A.Md,Far


Nip. 19630716 198803 1 012
B U F F E R
01 -
02 -
03 -
04 -
05 -
06 -
07 -
08 -
09 -
10 -
11 -
12 -
13 -
14 -
15 -
16 -
17 -
18 -
19 -
20 -
21 -
22 -
23 -
24 -
25 -
J K N
1 -
2 -
3 -
4 -
5 -
6 -
7 -
8 -
9 -
10 -
AR PERMINTAAN OBAT

PENERI- PERSE- PEMAK- SISA PERMIN- KET


MAAN DIAAN KAIAN STOK TAAN
6 7=(5+6) 8 9=(7-8) 11
#VALUE! #VALUE!
100 100
- -
- -
- -
18 18
- -
15 15
5 5
- -
130 130
90 90
- -
- -
- -
- -
80 80
11 11
100 100
- -
- -
- -
1 1
- -
- -
- -
- -
- -
2 2
50 50
20 20
- -
- -
6 6
- -
- -
12 12
9 9
40 40
- -
- -
- -
- -
- -
- -
- -
- -
- -
3 3
220 220
- -
- -
- -
- -
- -
- -
6 6
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
9 9
140 140
- -
- -
105 105
- -
- -
- -
- -
- -
- -
800 800
- -
- -
50 50
- -
2 2
- -
100 100
- -
- -
10 10
240 240
10 10
5 5
9 9
- -
13 13
25 25
10 10
- -
- -
- -
90 90
- -
- -
140 140
180 180
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
2 2
4 4
- -
- -
- -
- -
- -
- -
- -
100 100
200 200
- -
- -
- -
- -
- -
- -
- -
- -
- -
11 11
- -
80 80
- -
- -
- -
- -
- -
- -
- -
40 40
- -
- -
- -
2 2
- -
- -
- -
2 2
- -
- -
- -
90 90
100 100
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
11 11
50 50
- -
3 3
270 270
- -
- -
- -
21 21
990 990
- -
- -
- -
40 40
- -
- -
- -
20 20
12 12
- -
- -
6 6
100 100
5 5
3 3
- -
60 60
7 7
- -
- -
- -
10 10
80 80
- -
- -
- -
70 70
- -
- -
- -
- -
- -
- -
80 80
- -
- -
- -
990 990
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
100 100
5 5
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -

N TOTAL
UMUM

,,,,,,,/,,,,,,,,,2017
Penanggung Jawab
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -

- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
KET : HANYA KOLOM BERWARNA KUNING YANG DIISI
Kode Puskesmas : :
Puskesmas :MALEI
Kecamatan :KECAMATAN BALAESANGTANJUNG LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT
Pustu / Polindes : (LPLPO)
Kabupaten :DONGGALA
Provinsi :SULAWESI TENGAH

HARGA SATU- STOK


KODE NAMA OBAT
(Rp) AN AWAL
1 2 3 4 5
0001 Acyclovir 200 mg 251 Tablet #VALUE!
0002 Acyclovir 400 mg 340 Tablet 100
0003 Acyclovir Krim 5% 2,367 Tube -
0004 Adona Injeksi 5 ml 16,940 Vial -
0005 Air Raksa Dental USE 103,536 Botol -
0006 Alat suntik sekali pakai 1 ml 993 Pcs 18
0007 Alat suntik sekali pakai 2,5 ml 944 Pcs -
0008 Alat suntik sekali pakai 3 ml 944 Pcs 15
0009 Alat suntik sekali pakai 5 ml 944 Pcs 5
0010 Albendazol 425 Tablet -
0011 Alopurinol tablet 100 mg 106 Tablet 130
0012 Ambroxol 30 mg 89 Tablet 90
0013 Ambroxol sy 15 mg/ml 2,722 Botol -
0014 Aminofilin inj 3,315 Ampul -
0015 Aminofilin tablet 200 mg 93 Tablet -
0016 Amitriptilin 127 Tablet -
0017 Amlodipin 10 mg 440 Tablet 80
0018 Amoksisikin Sirup kering 125mg/5ml 2,511 Botol 60ml 11
0019 Amoksisilin kaplet 500 mg 228 Kaplet 100
0020 Ampicilin Serbuk inj i.m/i.v 4,700 Vial -
0021 Ampisilin Kaplet 500 mg 407 Kaplet -
0022 Antalgin 500 mg 36 Tablet -
0023 Antasid syrup 2,065 Botol 60ml 1
0024 Antasida doen tablet kombinasi 73 Tablet -
0025 Antifungi doen kombinasi 2,096 Pot -
0026 Antihemoroid doen kombinasi 2,000 Tube -
0027 Antimalaria DOEN kombinasi : Pirimetamin tablet 25 mg Sulfadoksin tablet 50 525 Tablet -
0028 Antimigren tablet : Ergotamin Tartrat 1 mg + Kofein 50 mg 135 Tablet -
0029 Aqua pro Inj Steril 5,900 Botol 2
0030 Asam Ascorbat (Vitamin C) tablet 50 mg 32 Tablet 50
0031 Asam mefenamat 500 mg 115 Tablet 20
0032 Atropin injeksi 1.m/i.v/s.k. 0,25 mg/ml 1,353 Ampul -
0033 Bacitracin cream 3,000 Tube -
0034 Betametason krim 0,1 % 1,670 Tube 6
0035 Bioplasenton 15,909 Tube -
0036 Bromhexin tablet 8 mg 39 Tablet -
0037 Catgut/benang bedah no.2/0-3/0 24,583 Pcs 12
0038 Deksametason Inj 1,850 Ampul 9
0039 Deksametason tablet 0,5 mg 81 Tablet 40
0040 Dekstrometorfan hbr sirup 10 mg/5 ml 1,467 Botol 60 ml -
0041 Dekstrometorfan tablet 15 mg 102 Tablet -
0042 Diazepam 2 mg 28 Tablet -
0043 Diazepam 5 mg 65 Tablet -
0044 Diazepam injeksi 5 mg/ml 2,578 Ampul -
0045 Difenhidramin injeksi i.m. 10 mg/ml (HCl) 1,045 Ampul -
0046 Digoksin tablet 0,25 mg 96 Tablet -
0047 Diltiazem HCl tablet 30 mg 129 Tablet -
0048 Doksisiklin Kapsul 100 mg 250 Kapsul -
0049 Domperidon suspensi 5 mg/5 ml 3,766 Botol 60ml 3
0050 Domperidon tablet 10 mg 192 Tablet 220
0051 Dulcolax Suppositoria 10 mg 23,200 Suppositoria -
0052 Efedrin HCl 25 mg 23 Tablet -
0053 Ekstrak belladon tablet 10 mg 42 Tablet -
0054 Epinefrin (Adrenalin) injeksi 0,1 % (sebagai HCl) 1,650 Ampul -
0055 Eritromisin kapsul 250 mg 462 Kapsul -
0056 Eritromisin kapsul/kaplet 500 mg 1,013 Tablet -
0057 Eritromisin sirup 200 mg/ 5 ml 7,581 Botol 60ml 6
0058 Erlamycetin tetes mata 9,900 Botol 5 ml -
0059 Etakridin larutan 0,1% 2,354 Botol 300 ml -
0060 Etanol 70 % (Alkohol) 100 ml 20,500 Botol 1000ml -
0061 Ethyl Chlorida 105,000 Botol 100 cc -
0062 Eugenol 45,833 Botol -
0063 FDC 1 299,200 Tablet -
0064 FDC 2 1,200,000 Tablet -
0065 Fenobarbital injeksi i.m./i.v. 50 mg/ml 1,888 Ampul -
0066 Fenobarbital tablet 30 mg 67 Tablet -
0067 Fenol Gliserol tetes telinga 10% 1,109 Botol -
0068 Fitomenadion (vit. K1) injeksi 10 mg - 1ml 1,723 Ampul 9
0069 Fitomenadion (vit.K1) tablet salut 10 mg 641 Tablet 140
0070 Folley catheter 8,495 Pcs -
0071 Furosemid tablet 40 mg 90 Tablet -
0072 Garam Oralit I serbuk, kombinasi : Natrium 0,52 g Kalium klorida 0,30 322 Sachet 105
0073 Gemfibrozil kapsul/kaplet 300 mg 306 Tablet -
0074 Gentamycin salep kulit 0,1% 1,469 Tube -
0075 Gentamisin Sulfat tetes mata 0,3% 3,194 Botol 5 ml -
0076 Gentian Violet larutan 1 % 985 Botol 10 ml -
0077 Glass lonomer cement (gc ix) 395,000 Set -
0078 Glibenklamid tablet 5 mg 59 Tablet -
0079 Gliseril guayakolat tablet 100 mg 28 Tablet 800
0080 Glukosa Larutan Infus 10 % Steril 6,300 Kolf 500 ml -
0081 Glukosa Larutan Infus 5 % Steril 5,844 Kolf 500ml -
0082 Griseofulvin tablet 125 mg 204 Tablet 50
0083 Haloperidol tablet 1,5 mg 64 Tablet -
0084 Handscoon 4,250 Pcs 2
0085 Handscoon Gynaekologi 24,000 Pcs -
0086 Hemafort 777 Tablet 100
0087 Hepafix 89,000 Rol -
0088 Hidroklorotiazid (HCT) tablet 25 mg 40 Tablet -
0089 Hidrokortison krim 2,5 % 2,519 Tablet 10
0090 Ibuprofen tablet 200 mg 96 Tablet 240
0091 Ibuprofen tablet 400 mg 153 Tablet 10
0092 Infusion set anak 4,400 Pcs 5
0093 Infusion set Dewasa 3,850 Pcs 9
0094 Isosorbit dinitrat tablet sublungual 5 mg 101 Tablet -
0095 IV Catheter 20 8,566 Pcs 13
0096 IV Catheter 22 7,000 Pcs 25
0097 IV Catheter 24 8,566 Pcs 10
0098 Kalium Diklofenak tablet 50 mg 425 Tablet -
0099 Kalnex (Asam Tranexamat) injeksi 11,000 Ampul -
0100 Kalsium Hidroksida Pasta 220,000 Tube -
0101 Kalsium laktat (kalk) tablet 500 mg 51 Tablet 90
0102 Kanamicyn Injeksi 1 gr 8,965 Vial -
0103 Kapas pembalut/absorben 250 mg 7,500 Bungkus -
0104 Kaptopril 12,5 mg 63 Tablet 140
0105 Kaptopril 25 mg 94 Tablet 180
0106 Karbamazepin tablet 200 mg 267 Tablet -
0107 Kasa Elastis 4 Inci 11,000 Rol -
0108 Kasa Hidrofil steril uk. 16x16 (isi 16 Lembar) 584 Kotak -
0109 Kasa Kompres 40/40 Steril 1,393 Bungkus -
0110 Kasa pembalut 2 m x 80 cm 17,143 Rol -
0111 Kasa Pembalut Hidrofil 4 m x 10 cm 668 Rol -
0112 Kasa pembalut hidrofil 4 m x 15 cm 3,373 Rol -
0113 Kasa pembalut hidrofil 4 m x 3 cm 733 Rol -
0114 Kasa Pembalut Hidrofil 4 m x 5 cm 3,373 Rol -
0115 Ketorolac inj 30 mg 2,539 Ampul -
0116 Kina Tablet 814 Tablet -
0117 Klindamisin kapsul/kaplet 300 mg 579 Tablet -
0118 Kloramfenicol kapsul 250 mg 250 Kapsul -
0119 Kloramfenikol tetes telinga 3% 1,759 Botol 5 ml 2
0120 Kloramfenicol suspensi 125mg/5ml 4,016 Botol 60ml 4
0121 Kloramfenikol tetes mata 0,5 % 2,750 Botol 5ml -
0122 Klorfeniramin maleat (ctm) tablet 4 mg 23 Tablet -
0123 Klorokuin tablet 150 mg 64 Tablet -
0124 Klorokuin tablet 250 mg 112 Tablet -
0125 Klorpromazin hcl tablet salut 100 mg 146 Tablet -
0126 Kodein tablet 10 mg 517 Tablet -
0127 Komb. pirimetamin 25100
Sulfametoksazol mg+sulfadoksilin
mg 500 mg 700 Tablet -
0128 Trimetoprim 20 mg 79 Tablet 100
0129 Kotrimoksazol DOEN I (dewasa) kombinasi : Sulfametoksazol 400 mg , Trimetop 146 Tablet 200
0130 Kotrimoksazol Suspensi komb: 2,213 Botol 60ml -
0131 Larutan Asam Asetat 6 % 15,730 Botol -
0132 Larutan asam sulfosalisilat 20% 1,179 Botol -
0133 Larutan Barium Klorida 2, 10 % 132,000 Botol -
0134 Larutan benedict 49,500 Botol -
0135 Larutan Fouchet 39,380 Botol -
0136 larutan Giemsa stain 132,000 Botol -
0137 Larutan HCL 0,1 % 14,116 Botol -
0138 Larutan Turk 20,000 Botol -
0139 Lidokain injeksi 2% 1,000 Ampul 11
0140 Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000-2ml 1,485 Ampul -
0141 Loperamid 2 mg 92 Tablet 80
0142 Linkomisin kapsul/kaplet 500 mg 607 Tablet -
0143 Magnesium Sulfat inj. (IV) 40% - 25 ml OTSU 4,800 Vial -
0144 Masker 1,238 Pcs -
0145 Mebendazol 100 mg 248 Tablet -
0146 Metformin HCl tablet 500 mg 105 Tablet -
0147 Methylprednisolon tablet 4 mg 198 Tablet -
0148 Metilergometrin maleat inj.0,200 mg - 1 ml 3,509 Ampul -
0149 Metilergometrin maleat tablet salut 0,125 133 Tablet 40
0150 Metoklopramide 10 mg 93 Tablet -
0151 Metoklopramide sirup 1,919 Botol 60 ml -
0152 Metronidazol tablet 500 mg 183 Tablet -
0153 Mikonazole krim/salep 2% 3,300 Tube 2
0154 Myomergin injeksi 3,800 Ampul -
0155 Natrium Diklofenak 25 mg 155 Tablet -
0156 Natrium Diklofenak 50 mg 206 Tablet -
0157 Natrium klorida larutan infus 0,9 % steril 5,390 Kolf 500ml 2
0158 Needle 275 Pcs -
0159 Neo Diastop 1,357 Tablet -
0160 Neuropanstop 990 TAblet -
0161 Nifedipin 10 mg 118 Tablet 90
0162 Nistatin 100.000 iu/g tablet vaginal 448 Tablet 100
0163 Nistatin 500.000 ju/g tablet salut 704 Tablet -
0164 Novadiar Suspensi 7,455 Botol 60 ml -
0165 Novadium 15 Tablet -
0166 NOVAMAG (Antasida DOEN II Suspensi, Kombinasi) 6,364 Botol 60 ml -
0167 NOVAMOX (Amoksisilin Sirup Kering 125 mg/5 ml) 10,227 Botol 60 ml -
0168 NOVASTAN (Asam Mefenamat Kaplet 500 mg) 159 Tablet -
0169 Noza 463 Tablet -
0170 OBH 1,400 Botol 100ml -
0171 Oksitetrasiklin hcl inj.i.m. 50 mg/ml - 10 ml 2,267 Vial -
0172 Oksitetrasiklin hcl salep kulit 3 % 1,646 Tube -
0173 Oksitetrasiklin hcl salep mata 1% 1,680 Tube -
0174 Oksitosin (Pitogin) injeksi 10 ju/ml - 1 ml 5,290 Ampul 11
0175 Omeprazole caps 265 Kapsul 50
0176 Paraformaldehide 100 Botol -
0177 Parasetamol sirup 120 mg/5 ml 1,404 Botol 60ml 3
0178 Parasetamol tablet 500 mg 85 Tablet 270
0179 Pavaperin tab 40 mg 128 Tablet -
0180 Piracetam inj 3 mg/ 15 ml 4,700 Ampul -
0181 Piracetam tablet 400 mg 194 Tablet -
0182 Pirantel tablet score (base) 125 mg 288 Tablet 21
0183 Piridoksin hcl (B6) tablet 10 mg 16 Tablet 990
0184 Piroksikam kapsul/kaplet/tablet 20 mg 92 Tablet -
0185 Plester 5 yard x 2 inch 23,625 Rol -
0186 Ponuric Tablet 1,252 Tablet -
0187 Prednison tablet 5 mg 57 Tablet 40
0188 Primaquin tablet 15 mg 125 Tablet -
0189 Propanolol 10 mg 85 Vial -
0190 Propiltiourasil tablet 100 mg 297 Tablet -
0191 Ranitidin 150 mg 119 Tablet 20
0192 Ranitidin Inj 1,157 Ampul 12
0193 Reserpin 0,1 mg Tablet 89 Tablet -
0194 Reserpin 0,25 mg Tablet 114 Tablet -
0195 Ringer laktat larutan infus steril 5,720 Kolf 500 ml 6
0196 Salbutamol tablet 2 mg 70 Tablet 100
0197 Salep 2 - 4 kombinasi 1,352 Pot 5
0198 Salisil bedak 2 % 1,180 Pcs 3
0199 Scabisid cream 7,700 Tube -
0200 Sefadroksil kapsul/kaplet 500 mg 521 Tablet 60
0201 Sefadroksil sirup kering 125 mg/5ml 5,248 Botol 60 ml 7
0202 Sefotaksim injeksi 1 g 7,546 Vial -
0203 Seftriakson injeksi 1 g 2,578 Vial -
0204 Semen seng fosfat serbuk dan cairan 102,850 Set -
0205 Sianokobalamin (vit. B.12) inj. 500 mcp/ml 1,067 Ampul 10
0206 Sianokobalamin (Vit. B.12) tablet 15 Tablet 80
0207 Silk (Benang Bedah sutera) no 3.0 6,983 Pcs -
0208 Silver amalgam serbuk 65 - 75 % 227,311 Botol -
0209 Simetidin tablet 200 mg 106 Tablet -
0210 Simvastatin 10 mg 180 Tablet 70
0211 Siprofloksasin tablet 500 mg (sebagai HCl) 241 Tablet -
0212 Sisoprim tablet (Kotrimoksasol 480 mg) 436 Tablet -
0213 Stesolid suppositoria 5 mg 37,760 Suppositoria -
0214 Stesolid tablet 5 mg (Valdimex tab 5 mg) 1,690 Tablet -
0215 Stesolid Injeksi 5 mg 15,200 Ampul -
0216 Temporary stropping fletcher 34,000 Botol -
0217 Tetrasiklin hcl kapsul 250 mg 147 Kapsul 80
0218 Tetrasiklin hcl kapsul 500 mg 226 Kapsul -
0219 Tiamfenikol kapsul/kaplet 500 mg 440 Tablet -
0220 Tiamin (Vitamin B1) injeksi 100 mg/ml 750 Ampul -
0221 Tiamin (vit. B1) tablet 50 mg 85 Tablet 990
0222 Tramadol kapsul/kaplet/tablet 50 mg 196 Tablet -
0223 Tramadol injeksi 50 mg/ml 6,200 Ampul -
0224 Triheksifenidil hidroklorida tablet 2 mg 44 Tablet -
0225 Truvit syrup 13,000 Botol 60ml -
0226 Urine bag 4,000 Pcs -
0227 Vastarel (Vit Kombinasi B1, B6,B12) 509 Tablet -
0228 Vitamin B kompleks tablet 22 Tablet -
0229 Wings nedlee 2,145 Pcs -
0230 Yodium povidon larutan 10 % 30 ml 2,100 Botol 30ml -
0231 Yodium povidon larutan 10 % 60 ml 3,675 Botol 60ml -
0232 Zincare tablet (Zinc 20 mg) 2,907 Tablet -
0233 Zinc tablet 20 mg 494 Tablet -
0234 Kasa 36m x 80 cm 60,720 Rol -
0235 Amoksisillin + Asam Klavulanat 5,040 Tablet -
0236 Siobion 1,067 Tablet -
0237 Salbutamol 4 mg Tablet 100
0238 Becefort sirup Botol 5
0239 Pirantel Sirup -
0240 Ketokonazole tablet -
0241 Hanscun steril -
0242 Sohobion injeksi -
0243 Metoklopramide 5 mg -
0244 Simvastatin 20 mg -
0245 Kloramfenikol salep mata -
0246 Etanol 70 % (Alkohol) 1000 ml -
0247 Lidokain injeksi 40 mg/2 ml -
0248 Miniaspi 80 mg / Asam acetilsalicilic Acid -
0249 Diazepam Rektal 5 mg -
0250 Oksitosin induxin -
0251 Piroksikam 10 mg -
0252 Polifix -
0253 Yodium povidon larutan 10 % 300 ml -
0254 Alcohol Swab CHG 0,5% -
0255 Policlean 500 ml -
0256 FM Crape Pembalut elastis/Gips -
0257 Antihemoroid -
0258 Lytacur Sirup -
0259 Farbion ijn -
0260 Pratopril / Piracetam inj 200mg -
0261 Chloramex/Kloramfenikol 500 mg -
0262 Stik Asam Urat -
0263 Stik Gula Darah -
0264 Stik Kolesterol -
0265 Hemafort/ FE -
0266 OAT Kategori 1 -
0267 Methisoprinol syrup -
0268 Salbutamol sulfat 4 mg -
0269 Consentrat cleaner -
0270 Diluents -
0271 Glucosa -
0272 GOT -
0273 GPT -
0274 Lyse -
0275 Test kehamilan -
0276 Ureum -
0277 Widal test -
0278 Creatinin -
0279 Kloramfenikol Tetes Telinga (Erlamicetyn) -
0280 Trifasicline Salep -
0281 Oksitetrasiklin HCl salep mata 1% (Terramicin) -
-

KUNJUNGAN
JUMLAH KUNJUNGAN RESEP JAMKESMAS BPJS

Mengetahui / Menyetujui Pengelolah Gudang


Kepala Puskesmas Puskesmas

SUGENG RAHARDJO MIRANTI A.Md,Far


Nip. 19630716 198803 1 012
B U F F E R
01 -
02 -
03 -
04 -
05 -
06 -
07 -
08 -
09 -
10 -
11 -
12 -
13 -
14 -
15 -
16 -
17 -
18 -
19 -
20 -
21 -
22 -
23 -
24 -
25 -
J K N
1 -
2 -
3 -
4 -
5 -
6 -
7 -
8 -
9 -
10 -
AR PERMINTAAN OBAT

PENERI- PERSE- PEMAK- SISA PERMIN- KET


MAAN DIAAN KAIAN STOK TAAN
6 7=(5+6) 8 9=(7-8) 11
#VALUE! #VALUE!
100 100
- -
- -
- -
18 18
- -
15 15
5 5
- -
130 130
90 90
- -
- -
- -
- -
80 80
11 11
100 100
- -
- -
- -
1 1
- -
- -
- -
- -
- -
2 2
50 50
20 20
- -
- -
6 6
- -
- -
12 12
9 9
40 40
- -
- -
- -
- -
- -
- -
- -
- -
- -
3 3
220 220
- -
- -
- -
- -
- -
- -
6 6
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
9 9
140 140
- -
- -
105 105
- -
- -
- -
- -
- -
- -
800 800
- -
- -
50 50
- -
2 2
- -
100 100
- -
- -
10 10
240 240
10 10
5 5
9 9
- -
13 13
25 25
10 10
- -
- -
- -
90 90
- -
- -
140 140
180 180
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
2 2
4 4
- -
- -
- -
- -
- -
- -
- -
100 100
200 200
- -
- -
- -
- -
- -
- -
- -
- -
- -
11 11
- -
80 80
- -
- -
- -
- -
- -
- -
- -
40 40
- -
- -
- -
2 2
- -
- -
- -
2 2
- -
- -
- -
90 90
100 100
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
11 11
50 50
- -
3 3
270 270
- -
- -
- -
21 21
990 990
- -
- -
- -
40 40
- -
- -
- -
20 20
12 12
- -
- -
6 6
100 100
5 5
3 3
- -
60 60
7 7
- -
- -
- -
10 10
80 80
- -
- -
- -
70 70
- -
- -
- -
- -
- -
- -
80 80
- -
- -
- -
990 990
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
100 100
5 5
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -

N TOTAL
UMUM

,,,,,,,/,,,,,,,,,2017
Penanggung Jawab
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -

- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
KET : HANYA KOLOM BERWARNA KUNING YANG DIISI
Kode Puskesmas : :
Puskesmas :MALEI
Kecamatan :KECAMATAN BALAESANGTANJUNG LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT
Pustu / Polindes : (LPLPO)
Kabupaten :DONGGALA
Provinsi :SULAWESI TENGAH

HARGA SATU- STOK


KODE NAMA OBAT
(Rp) AN AWAL
1 2 3 4 5
0001 Acyclovir 200 mg 251 Tablet #VALUE!
0002 Acyclovir 400 mg 340 Tablet 100
0003 Acyclovir Krim 5% 2,367 Tube -
0004 Adona Injeksi 5 ml 16,940 Vial -
0005 Air Raksa Dental USE 103,536 Botol -
0006 Alat suntik sekali pakai 1 ml 993 Pcs 18
0007 Alat suntik sekali pakai 2,5 ml 944 Pcs -
0008 Alat suntik sekali pakai 3 ml 944 Pcs 15
0009 Alat suntik sekali pakai 5 ml 944 Pcs 5
0010 Albendazol 425 Tablet -
0011 Alopurinol tablet 100 mg 106 Tablet 130
0012 Ambroxol 30 mg 89 Tablet 90
0013 Ambroxol sy 15 mg/ml 2,722 Botol -
0014 Aminofilin inj 3,315 Ampul -
0015 Aminofilin tablet 200 mg 93 Tablet -
0016 Amitriptilin 127 Tablet -
0017 Amlodipin 10 mg 440 Tablet 80
0018 Amoksisikin Sirup kering 125mg/5ml 2,511 Botol 60ml 11
0019 Amoksisilin kaplet 500 mg 228 Kaplet 100
0020 Ampicilin Serbuk inj i.m/i.v 4,700 Vial -
0021 Ampisilin Kaplet 500 mg 407 Kaplet -
0022 Antalgin 500 mg 36 Tablet -
0023 Antasid syrup 2,065 Botol 60ml 1
0024 Antasida doen tablet kombinasi 73 Tablet -
0025 Antifungi doen kombinasi 2,096 Pot -
0026 Antihemoroid doen kombinasi 2,000 Tube -
0027 Antimalaria DOEN kombinasi : Pirimetamin tablet 25 mg Sulfadoksin tablet 50 525 Tablet -
0028 Antimigren tablet : Ergotamin Tartrat 1 mg + Kofein 50 mg 135 Tablet -
0029 Aqua pro Inj Steril 5,900 Botol 2
0030 Asam Ascorbat (Vitamin C) tablet 50 mg 32 Tablet 50
0031 Asam mefenamat 500 mg 115 Tablet 20
0032 Atropin injeksi 1.m/i.v/s.k. 0,25 mg/ml 1,353 Ampul -
0033 Bacitracin cream 3,000 Tube -
0034 Betametason krim 0,1 % 1,670 Tube 6
0035 Bioplasenton 15,909 Tube -
0036 Bromhexin tablet 8 mg 39 Tablet -
0037 Catgut/benang bedah no.2/0-3/0 24,583 Pcs 12
0038 Deksametason Inj 1,850 Ampul 9
0039 Deksametason tablet 0,5 mg 81 Tablet 40
0040 Dekstrometorfan hbr sirup 10 mg/5 ml 1,467 Botol 60 ml -
0041 Dekstrometorfan tablet 15 mg 102 Tablet -
0042 Diazepam 2 mg 28 Tablet -
0043 Diazepam 5 mg 65 Tablet -
0044 Diazepam injeksi 5 mg/ml 2,578 Ampul -
0045 Difenhidramin injeksi i.m. 10 mg/ml (HCl) 1,045 Ampul -
0046 Digoksin tablet 0,25 mg 96 Tablet -
0047 Diltiazem HCl tablet 30 mg 129 Tablet -
0048 Doksisiklin Kapsul 100 mg 250 Kapsul -
0049 Domperidon suspensi 5 mg/5 ml 3,766 Botol 60ml 3
0050 Domperidon tablet 10 mg 192 Tablet 220
0051 Dulcolax Suppositoria 10 mg 23,200 Suppositoria -
0052 Efedrin HCl 25 mg 23 Tablet -
0053 Ekstrak belladon tablet 10 mg 42 Tablet -
0054 Epinefrin (Adrenalin) injeksi 0,1 % (sebagai HCl) 1,650 Ampul -
0055 Eritromisin kapsul 250 mg 462 Kapsul -
0056 Eritromisin kapsul/kaplet 500 mg 1,013 Tablet -
0057 Eritromisin sirup 200 mg/ 5 ml 7,581 Botol 60ml 6
0058 Erlamycetin tetes mata 9,900 Botol 5 ml -
0059 Etakridin larutan 0,1% 2,354 Botol 300 ml -
0060 Etanol 70 % (Alkohol) 100 ml 20,500 Botol 1000ml -
0061 Ethyl Chlorida 105,000 Botol 100 cc -
0062 Eugenol 45,833 Botol -
0063 FDC 1 299,200 Tablet -
0064 FDC 2 1,200,000 Tablet -
0065 Fenobarbital injeksi i.m./i.v. 50 mg/ml 1,888 Ampul -
0066 Fenobarbital tablet 30 mg 67 Tablet -
0067 Fenol Gliserol tetes telinga 10% 1,109 Botol -
0068 Fitomenadion (vit. K1) injeksi 10 mg - 1ml 1,723 Ampul 9
0069 Fitomenadion (vit.K1) tablet salut 10 mg 641 Tablet 140
0070 Folley catheter 8,495 Pcs -
0071 Furosemid tablet 40 mg 90 Tablet -
0072 Garam Oralit I serbuk, kombinasi : Natrium 0,52 g Kalium klorida 0,30 322 Sachet 105
0073 Gemfibrozil kapsul/kaplet 300 mg 306 Tablet -
0074 Gentamycin salep kulit 0,1% 1,469 Tube -
0075 Gentamisin Sulfat tetes mata 0,3% 3,194 Botol 5 ml -
0076 Gentian Violet larutan 1 % 985 Botol 10 ml -
0077 Glass lonomer cement (gc ix) 395,000 Set -
0078 Glibenklamid tablet 5 mg 59 Tablet -
0079 Gliseril guayakolat tablet 100 mg 28 Tablet 800
0080 Glukosa Larutan Infus 10 % Steril 6,300 Kolf 500 ml -
0081 Glukosa Larutan Infus 5 % Steril 5,844 Kolf 500ml -
0082 Griseofulvin tablet 125 mg 204 Tablet 50
0083 Haloperidol tablet 1,5 mg 64 Tablet -
0084 Handscoon 4,250 Pcs 2
0085 Handscoon Gynaekologi 24,000 Pcs -
0086 Hemafort 777 Tablet 100
0087 Hepafix 89,000 Rol -
0088 Hidroklorotiazid (HCT) tablet 25 mg 40 Tablet -
0089 Hidrokortison krim 2,5 % 2,519 Tablet 10
0090 Ibuprofen tablet 200 mg 96 Tablet 240
0091 Ibuprofen tablet 400 mg 153 Tablet 10
0092 Infusion set anak 4,400 Pcs 5
0093 Infusion set Dewasa 3,850 Pcs 9
0094 Isosorbit dinitrat tablet sublungual 5 mg 101 Tablet -
0095 IV Catheter 20 8,566 Pcs 13
0096 IV Catheter 22 7,000 Pcs 25
0097 IV Catheter 24 8,566 Pcs 10
0098 Kalium Diklofenak tablet 50 mg 425 Tablet -
0099 Kalnex (Asam Tranexamat) injeksi 11,000 Ampul -
0100 Kalsium Hidroksida Pasta 220,000 Tube -
0101 Kalsium laktat (kalk) tablet 500 mg 51 Tablet 90
0102 Kanamicyn Injeksi 1 gr 8,965 Vial -
0103 Kapas pembalut/absorben 250 mg 7,500 Bungkus -
0104 Kaptopril 12,5 mg 63 Tablet 140
0105 Kaptopril 25 mg 94 Tablet 180
0106 Karbamazepin tablet 200 mg 267 Tablet -
0107 Kasa Elastis 4 Inci 11,000 Rol -
0108 Kasa Hidrofil steril uk. 16x16 (isi 16 Lembar) 584 Kotak -
0109 Kasa Kompres 40/40 Steril 1,393 Bungkus -
0110 Kasa pembalut 2 m x 80 cm 17,143 Rol -
0111 Kasa Pembalut Hidrofil 4 m x 10 cm 668 Rol -
0112 Kasa pembalut hidrofil 4 m x 15 cm 3,373 Rol -
0113 Kasa pembalut hidrofil 4 m x 3 cm 733 Rol -
0114 Kasa Pembalut Hidrofil 4 m x 5 cm 3,373 Rol -
0115 Ketorolac inj 30 mg 2,539 Ampul -
0116 Kina Tablet 814 Tablet -
0117 Klindamisin kapsul/kaplet 300 mg 579 Tablet -
0118 Kloramfenicol kapsul 250 mg 250 Kapsul -
0119 Kloramfenikol tetes telinga 3% 1,759 Botol 5 ml 2
0120 Kloramfenicol suspensi 125mg/5ml 4,016 Botol 60ml 4
0121 Kloramfenikol tetes mata 0,5 % 2,750 Botol 5ml -
0122 Klorfeniramin maleat (ctm) tablet 4 mg 23 Tablet -
0123 Klorokuin tablet 150 mg 64 Tablet -
0124 Klorokuin tablet 250 mg 112 Tablet -
0125 Klorpromazin hcl tablet salut 100 mg 146 Tablet -
0126 Kodein tablet 10 mg 517 Tablet -
0127 Komb. pirimetamin 25100
Sulfametoksazol mg+sulfadoksilin
mg 500 mg 700 Tablet -
0128 Trimetoprim 20 mg 79 Tablet 100
0129 Kotrimoksazol DOEN I (dewasa) kombinasi : Sulfametoksazol 400 mg , Trimetop 146 Tablet 200
0130 Kotrimoksazol Suspensi komb: 2,213 Botol 60ml -
0131 Larutan Asam Asetat 6 % 15,730 Botol -
0132 Larutan asam sulfosalisilat 20% 1,179 Botol -
0133 Larutan Barium Klorida 2, 10 % 132,000 Botol -
0134 Larutan benedict 49,500 Botol -
0135 Larutan Fouchet 39,380 Botol -
0136 larutan Giemsa stain 132,000 Botol -
0137 Larutan HCL 0,1 % 14,116 Botol -
0138 Larutan Turk 20,000 Botol -
0139 Lidokain injeksi 2% 1,000 Ampul 11
0140 Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000-2ml 1,485 Ampul -
0141 Loperamid 2 mg 92 Tablet 80
0142 Linkomisin kapsul/kaplet 500 mg 607 Tablet -
0143 Magnesium Sulfat inj. (IV) 40% - 25 ml OTSU 4,800 Vial -
0144 Masker 1,238 Pcs -
0145 Mebendazol 100 mg 248 Tablet -
0146 Metformin HCl tablet 500 mg 105 Tablet -
0147 Methylprednisolon tablet 4 mg 198 Tablet -
0148 Metilergometrin maleat inj.0,200 mg - 1 ml 3,509 Ampul -
0149 Metilergometrin maleat tablet salut 0,125 133 Tablet 40
0150 Metoklopramide 10 mg 93 Tablet -
0151 Metoklopramide sirup 1,919 Botol 60 ml -
0152 Metronidazol tablet 500 mg 183 Tablet -
0153 Mikonazole krim/salep 2% 3,300 Tube 2
0154 Myomergin injeksi 3,800 Ampul -
0155 Natrium Diklofenak 25 mg 155 Tablet -
0156 Natrium Diklofenak 50 mg 206 Tablet -
0157 Natrium klorida larutan infus 0,9 % steril 5,390 Kolf 500ml 2
0158 Needle 275 Pcs -
0159 Neo Diastop 1,357 Tablet -
0160 Neuropanstop 990 TAblet -
0161 Nifedipin 10 mg 118 Tablet 90
0162 Nistatin 100.000 iu/g tablet vaginal 448 Tablet 100
0163 Nistatin 500.000 ju/g tablet salut 704 Tablet -
0164 Novadiar Suspensi 7,455 Botol 60 ml -
0165 Novadium 15 Tablet -
0166 NOVAMAG (Antasida DOEN II Suspensi, Kombinasi) 6,364 Botol 60 ml -
0167 NOVAMOX (Amoksisilin Sirup Kering 125 mg/5 ml) 10,227 Botol 60 ml -
0168 NOVASTAN (Asam Mefenamat Kaplet 500 mg) 159 Tablet -
0169 Noza 463 Tablet -
0170 OBH 1,400 Botol 100ml -
0171 Oksitetrasiklin hcl inj.i.m. 50 mg/ml - 10 ml 2,267 Vial -
0172 Oksitetrasiklin hcl salep kulit 3 % 1,646 Tube -
0173 Oksitetrasiklin hcl salep mata 1% 1,680 Tube -
0174 Oksitosin (Pitogin) injeksi 10 ju/ml - 1 ml 5,290 Ampul 11
0175 Omeprazole caps 265 Kapsul 50
0176 Paraformaldehide 100 Botol -
0177 Parasetamol sirup 120 mg/5 ml 1,404 Botol 60ml 3
0178 Parasetamol tablet 500 mg 85 Tablet 270
0179 Pavaperin tab 40 mg 128 Tablet -
0180 Piracetam inj 3 mg/ 15 ml 4,700 Ampul -
0181 Piracetam tablet 400 mg 194 Tablet -
0182 Pirantel tablet score (base) 125 mg 288 Tablet 21
0183 Piridoksin hcl (B6) tablet 10 mg 16 Tablet 990
0184 Piroksikam kapsul/kaplet/tablet 20 mg 92 Tablet -
0185 Plester 5 yard x 2 inch 23,625 Rol -
0186 Ponuric Tablet 1,252 Tablet -
0187 Prednison tablet 5 mg 57 Tablet 40
0188 Primaquin tablet 15 mg 125 Tablet -
0189 Propanolol 10 mg 85 Vial -
0190 Propiltiourasil tablet 100 mg 297 Tablet -
0191 Ranitidin 150 mg 119 Tablet 20
0192 Ranitidin Inj 1,157 Ampul 12
0193 Reserpin 0,1 mg Tablet 89 Tablet -
0194 Reserpin 0,25 mg Tablet 114 Tablet -
0195 Ringer laktat larutan infus steril 5,720 Kolf 500 ml 6
0196 Salbutamol tablet 2 mg 70 Tablet 100
0197 Salep 2 - 4 kombinasi 1,352 Pot 5
0198 Salisil bedak 2 % 1,180 Pcs 3
0199 Scabisid cream 7,700 Tube -
0200 Sefadroksil kapsul/kaplet 500 mg 521 Tablet 60
0201 Sefadroksil sirup kering 125 mg/5ml 5,248 Botol 60 ml 7
0202 Sefotaksim injeksi 1 g 7,546 Vial -
0203 Seftriakson injeksi 1 g 2,578 Vial -
0204 Semen seng fosfat serbuk dan cairan 102,850 Set -
0205 Sianokobalamin (vit. B.12) inj. 500 mcp/ml 1,067 Ampul 10
0206 Sianokobalamin (Vit. B.12) tablet 15 Tablet 80
0207 Silk (Benang Bedah sutera) no 3.0 6,983 Pcs -
0208 Silver amalgam serbuk 65 - 75 % 227,311 Botol -
0209 Simetidin tablet 200 mg 106 Tablet -
0210 Simvastatin 10 mg 180 Tablet 70
0211 Siprofloksasin tablet 500 mg (sebagai HCl) 241 Tablet -
0212 Sisoprim tablet (Kotrimoksasol 480 mg) 436 Tablet -
0213 Stesolid suppositoria 5 mg 37,760 Suppositoria -
0214 Stesolid tablet 5 mg (Valdimex tab 5 mg) 1,690 Tablet -
0215 Stesolid Injeksi 5 mg 15,200 Ampul -
0216 Temporary stropping fletcher 34,000 Botol -
0217 Tetrasiklin hcl kapsul 250 mg 147 Kapsul 80
0218 Tetrasiklin hcl kapsul 500 mg 226 Kapsul -
0219 Tiamfenikol kapsul/kaplet 500 mg 440 Tablet -
0220 Tiamin (Vitamin B1) injeksi 100 mg/ml 750 Ampul -
0221 Tiamin (vit. B1) tablet 50 mg 85 Tablet 990
0222 Tramadol kapsul/kaplet/tablet 50 mg 196 Tablet -
0223 Tramadol injeksi 50 mg/ml 6,200 Ampul -
0224 Triheksifenidil hidroklorida tablet 2 mg 44 Tablet -
0225 Truvit syrup 13,000 Botol 60ml -
0226 Urine bag 4,000 Pcs -
0227 Vastarel (Vit Kombinasi B1, B6,B12) 509 Tablet -
0228 Vitamin B kompleks tablet 22 Tablet -
0229 Wings nedlee 2,145 Pcs -
0230 Yodium povidon larutan 10 % 30 ml 2,100 Botol 30ml -
0231 Yodium povidon larutan 10 % 60 ml 3,675 Botol 60ml -
0232 Zincare tablet (Zinc 20 mg) 2,907 Tablet -
0233 Zinc tablet 20 mg 494 Tablet -
0234 Kasa 36m x 80 cm 60,720 Rol -
0235 Amoksisillin + Asam Klavulanat 5,040 Tablet -
0236 Siobion 1,067 Tablet -
0237 Salbutamol 4 mg Tablet 100
0238 Becefort sirup Botol 5
0239 Pirantel Sirup -
0240 Ketokonazole tablet -
0241 Hanscun steril -
0242 Sohobion injeksi -
0243 Metoklopramide 5 mg -
0244 Simvastatin 20 mg -
0245 Kloramfenikol salep mata -
0246 Etanol 70 % (Alkohol) 1000 ml -
0247 Lidokain injeksi 40 mg/2 ml -
0248 Miniaspi 80 mg / Asam acetilsalicilic Acid -
0249 Diazepam Rektal 5 mg -
0250 Oksitosin induxin -
0251 Piroksikam 10 mg -
0252 Polifix -
0253 Yodium povidon larutan 10 % 300 ml -
0254 Alcohol Swab CHG 0,5% -
0255 Policlean 500 ml -
0256 FM Crape Pembalut elastis/Gips -
0257 Antihemoroid -
0258 Lytacur Sirup -
0259 Farbion ijn -
0260 Pratopril / Piracetam inj 200mg -
0261 Chloramex/Kloramfenikol 500 mg -
0262 Stik Asam Urat -
0263 Stik Gula Darah -
0264 Stik Kolesterol -
0265 Hemafort/ FE -
0266 OAT Kategori 1 -
0267 Methisoprinol syrup -
0268 Salbutamol sulfat 4 mg -
0269 Consentrat cleaner -
0270 Diluents -
0271 Glucosa -
0272 GOT -
0273 GPT -
0274 Lyse -
0275 Test kehamilan -
0276 Ureum -
0277 Widal test -
0278 Creatinin -
0279 Kloramfenikol Tetes Telinga (Erlamicetyn) -
0280 Trifasicline Salep -
0281 Oksitetrasiklin HCl salep mata 1% (Terramicin) -
-

KUNJUNGAN
JUMLAH KUNJUNGAN RESEP JAMKESMAS BPJS

Mengetahui / Menyetujui Pengelolah Gudang


Kepala Puskesmas Puskesmas

SUGENG RAHARDJO MIRANTI A.Md,Far


Nip. 19630716 198803 1 012
B U F F E R
01 -
02 -
03 -
04 -
05 -
06 -
07 -
08 -
09 -
10 -
11 -
12 -
13 -
14 -
15 -
16 -
17 -
18 -
19 -
20 -
21 -
22 -
23 -
24 -
25 -
J K N
1 -
2 -
3 -
4 -
5 -
6 -
7 -
8 -
9 -
10 -
AR PERMINTAAN OBAT

PENERI- PERSE- PEMAK- SISA PERMIN- KET


MAAN DIAAN KAIAN STOK TAAN
6 7=(5+6) 8 9=(7-8) 11
#VALUE! #VALUE!
100 100
- -
- -
- -
18 18
- -
15 15
5 5
- -
130 130
90 90
- -
- -
- -
- -
80 80
11 11
100 100
- -
- -
- -
1 1
- -
- -
- -
- -
- -
2 2
50 50
20 20
- -
- -
6 6
- -
- -
12 12
9 9
40 40
- -
- -
- -
- -
- -
- -
- -
- -
- -
3 3
220 220
- -
- -
- -
- -
- -
- -
6 6
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
9 9
140 140
- -
- -
105 105
- -
- -
- -
- -
- -
- -
800 800
- -
- -
50 50
- -
2 2
- -
100 100
- -
- -
10 10
240 240
10 10
5 5
9 9
- -
13 13
25 25
10 10
- -
- -
- -
90 90
- -
- -
140 140
180 180
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
2 2
4 4
- -
- -
- -
- -
- -
- -
- -
100 100
200 200
- -
- -
- -
- -
- -
- -
- -
- -
- -
11 11
- -
80 80
- -
- -
- -
- -
- -
- -
- -
40 40
- -
- -
- -
2 2
- -
- -
- -
2 2
- -
- -
- -
90 90
100 100
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
11 11
50 50
- -
3 3
270 270
- -
- -
- -
21 21
990 990
- -
- -
- -
40 40
- -
- -
- -
20 20
12 12
- -
- -
6 6
100 100
5 5
3 3
- -
60 60
7 7
- -
- -
- -
10 10
80 80
- -
- -
- -
70 70
- -
- -
- -
- -
- -
- -
80 80
- -
- -
- -
990 990
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
100 100
5 5
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -

N TOTAL
UMUM

,,,,,,,/,,,,,,,,,2017
Penanggung Jawab
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -

- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
KET : HANYA KOLOM BERWARNA KUNING YANG DIISI
Kode Puskesmas : :
Puskesmas :MALEI
Kecamatan :KECAMATAN BALAESANGTANJUNG LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT
Pustu / Polindes : (LPLPO)
Kabupaten :DONGGALA
Provinsi :SULAWESI TENGAH

HARGA SATU- STOK


KODE NAMA OBAT
(Rp) AN AWAL
1 2 3 4 5
0001 Acyclovir 200 mg 251 Tablet #VALUE!
0002 Acyclovir 400 mg 340 Tablet 100
0003 Acyclovir Krim 5% 2,367 Tube -
0004 Adona Injeksi 5 ml 16,940 Vial -
0005 Air Raksa Dental USE 103,536 Botol -
0006 Alat suntik sekali pakai 1 ml 993 Pcs 18
0007 Alat suntik sekali pakai 2,5 ml 944 Pcs -
0008 Alat suntik sekali pakai 3 ml 944 Pcs 15
0009 Alat suntik sekali pakai 5 ml 944 Pcs 5
0010 Albendazol 425 Tablet -
0011 Alopurinol tablet 100 mg 106 Tablet 130
0012 Ambroxol 30 mg 89 Tablet 90
0013 Ambroxol sy 15 mg/ml 2,722 Botol -
0014 Aminofilin inj 3,315 Ampul -
0015 Aminofilin tablet 200 mg 93 Tablet -
0016 Amitriptilin 127 Tablet -
0017 Amlodipin 10 mg 440 Tablet 80
0018 Amoksisikin Sirup kering 125mg/5ml 2,511 Botol 60ml 11
0019 Amoksisilin kaplet 500 mg 228 Kaplet 100
0020 Ampicilin Serbuk inj i.m/i.v 4,700 Vial -
0021 Ampisilin Kaplet 500 mg 407 Kaplet -
0022 Antalgin 500 mg 36 Tablet -
0023 Antasid syrup 2,065 Botol 60ml 1
0024 Antasida doen tablet kombinasi 73 Tablet -
0025 Antifungi doen kombinasi 2,096 Pot -
0026 Antihemoroid doen kombinasi 2,000 Tube -
0027 Antimalaria DOEN kombinasi : Pirimetamin tablet 25 mg Sulfadoksin tablet 50 525 Tablet -
0028 Antimigren tablet : Ergotamin Tartrat 1 mg + Kofein 50 mg 135 Tablet -
0029 Aqua pro Inj Steril 5,900 Botol 2
0030 Asam Ascorbat (Vitamin C) tablet 50 mg 32 Tablet 50
0031 Asam mefenamat 500 mg 115 Tablet 20
0032 Atropin injeksi 1.m/i.v/s.k. 0,25 mg/ml 1,353 Ampul -
0033 Bacitracin cream 3,000 Tube -
0034 Betametason krim 0,1 % 1,670 Tube 6
0035 Bioplasenton 15,909 Tube -
0036 Bromhexin tablet 8 mg 39 Tablet -
0037 Catgut/benang bedah no.2/0-3/0 24,583 Pcs 12
0038 Deksametason Inj 1,850 Ampul 9
0039 Deksametason tablet 0,5 mg 81 Tablet 40
0040 Dekstrometorfan hbr sirup 10 mg/5 ml 1,467 Botol 60 ml -
0041 Dekstrometorfan tablet 15 mg 102 Tablet -
0042 Diazepam 2 mg 28 Tablet -
0043 Diazepam 5 mg 65 Tablet -
0044 Diazepam injeksi 5 mg/ml 2,578 Ampul -
0045 Difenhidramin injeksi i.m. 10 mg/ml (HCl) 1,045 Ampul -
0046 Digoksin tablet 0,25 mg 96 Tablet -
0047 Diltiazem HCl tablet 30 mg 129 Tablet -
0048 Doksisiklin Kapsul 100 mg 250 Kapsul -
0049 Domperidon suspensi 5 mg/5 ml 3,766 Botol 60ml 3
0050 Domperidon tablet 10 mg 192 Tablet 220
0051 Dulcolax Suppositoria 10 mg 23,200 Suppositoria -
0052 Efedrin HCl 25 mg 23 Tablet -
0053 Ekstrak belladon tablet 10 mg 42 Tablet -
0054 Epinefrin (Adrenalin) injeksi 0,1 % (sebagai HCl) 1,650 Ampul -
0055 Eritromisin kapsul 250 mg 462 Kapsul -
0056 Eritromisin kapsul/kaplet 500 mg 1,013 Tablet -
0057 Eritromisin sirup 200 mg/ 5 ml 7,581 Botol 60ml 6
0058 Erlamycetin tetes mata 9,900 Botol 5 ml -
0059 Etakridin larutan 0,1% 2,354 Botol 300 ml -
0060 Etanol 70 % (Alkohol) 100 ml 20,500 Botol 1000ml -
0061 Ethyl Chlorida 105,000 Botol 100 cc -
0062 Eugenol 45,833 Botol -
0063 FDC 1 299,200 Tablet -
0064 FDC 2 1,200,000 Tablet -
0065 Fenobarbital injeksi i.m./i.v. 50 mg/ml 1,888 Ampul -
0066 Fenobarbital tablet 30 mg 67 Tablet -
0067 Fenol Gliserol tetes telinga 10% 1,109 Botol -
0068 Fitomenadion (vit. K1) injeksi 10 mg - 1ml 1,723 Ampul 9
0069 Fitomenadion (vit.K1) tablet salut 10 mg 641 Tablet 140
0070 Folley catheter 8,495 Pcs -
0071 Furosemid tablet 40 mg 90 Tablet -
0072 Garam Oralit I serbuk, kombinasi : Natrium 0,52 g Kalium klorida 0,30 322 Sachet 105
0073 Gemfibrozil kapsul/kaplet 300 mg 306 Tablet -
0074 Gentamycin salep kulit 0,1% 1,469 Tube -
0075 Gentamisin Sulfat tetes mata 0,3% 3,194 Botol 5 ml -
0076 Gentian Violet larutan 1 % 985 Botol 10 ml -
0077 Glass lonomer cement (gc ix) 395,000 Set -
0078 Glibenklamid tablet 5 mg 59 Tablet -
0079 Gliseril guayakolat tablet 100 mg 28 Tablet 800
0080 Glukosa Larutan Infus 10 % Steril 6,300 Kolf 500 ml -
0081 Glukosa Larutan Infus 5 % Steril 5,844 Kolf 500ml -
0082 Griseofulvin tablet 125 mg 204 Tablet 50
0083 Haloperidol tablet 1,5 mg 64 Tablet -
0084 Handscoon 4,250 Pcs 2
0085 Handscoon Gynaekologi 24,000 Pcs -
0086 Hemafort 777 Tablet 100
0087 Hepafix 89,000 Rol -
0088 Hidroklorotiazid (HCT) tablet 25 mg 40 Tablet -
0089 Hidrokortison krim 2,5 % 2,519 Tablet 10
0090 Ibuprofen tablet 200 mg 96 Tablet 240
0091 Ibuprofen tablet 400 mg 153 Tablet 10
0092 Infusion set anak 4,400 Pcs 5
0093 Infusion set Dewasa 3,850 Pcs 9
0094 Isosorbit dinitrat tablet sublungual 5 mg 101 Tablet -
0095 IV Catheter 20 8,566 Pcs 13
0096 IV Catheter 22 7,000 Pcs 25
0097 IV Catheter 24 8,566 Pcs 10
0098 Kalium Diklofenak tablet 50 mg 425 Tablet -
0099 Kalnex (Asam Tranexamat) injeksi 11,000 Ampul -
0100 Kalsium Hidroksida Pasta 220,000 Tube -
0101 Kalsium laktat (kalk) tablet 500 mg 51 Tablet 90
0102 Kanamicyn Injeksi 1 gr 8,965 Vial -
0103 Kapas pembalut/absorben 250 mg 7,500 Bungkus -
0104 Kaptopril 12,5 mg 63 Tablet 140
0105 Kaptopril 25 mg 94 Tablet 180
0106 Karbamazepin tablet 200 mg 267 Tablet -
0107 Kasa Elastis 4 Inci 11,000 Rol -
0108 Kasa Hidrofil steril uk. 16x16 (isi 16 Lembar) 584 Kotak -
0109 Kasa Kompres 40/40 Steril 1,393 Bungkus -
0110 Kasa pembalut 2 m x 80 cm 17,143 Rol -
0111 Kasa Pembalut Hidrofil 4 m x 10 cm 668 Rol -
0112 Kasa pembalut hidrofil 4 m x 15 cm 3,373 Rol -
0113 Kasa pembalut hidrofil 4 m x 3 cm 733 Rol -
0114 Kasa Pembalut Hidrofil 4 m x 5 cm 3,373 Rol -
0115 Ketorolac inj 30 mg 2,539 Ampul -
0116 Kina Tablet 814 Tablet -
0117 Klindamisin kapsul/kaplet 300 mg 579 Tablet -
0118 Kloramfenicol kapsul 250 mg 250 Kapsul -
0119 Kloramfenikol tetes telinga 3% 1,759 Botol 5 ml 2
0120 Kloramfenicol suspensi 125mg/5ml 4,016 Botol 60ml 4
0121 Kloramfenikol tetes mata 0,5 % 2,750 Botol 5ml -
0122 Klorfeniramin maleat (ctm) tablet 4 mg 23 Tablet -
0123 Klorokuin tablet 150 mg 64 Tablet -
0124 Klorokuin tablet 250 mg 112 Tablet -
0125 Klorpromazin hcl tablet salut 100 mg 146 Tablet -
0126 Kodein tablet 10 mg 517 Tablet -
0127 Komb. pirimetamin 25100
Sulfametoksazol mg+sulfadoksilin
mg 500 mg 700 Tablet -
0128 Trimetoprim 20 mg 79 Tablet 100
0129 Kotrimoksazol DOEN I (dewasa) kombinasi : Sulfametoksazol 400 mg , Trimetop 146 Tablet 200
0130 Kotrimoksazol Suspensi komb: 2,213 Botol 60ml -
0131 Larutan Asam Asetat 6 % 15,730 Botol -
0132 Larutan asam sulfosalisilat 20% 1,179 Botol -
0133 Larutan Barium Klorida 2, 10 % 132,000 Botol -
0134 Larutan benedict 49,500 Botol -
0135 Larutan Fouchet 39,380 Botol -
0136 larutan Giemsa stain 132,000 Botol -
0137 Larutan HCL 0,1 % 14,116 Botol -
0138 Larutan Turk 20,000 Botol -
0139 Lidokain injeksi 2% 1,000 Ampul 11
0140 Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000-2ml 1,485 Ampul -
0141 Loperamid 2 mg 92 Tablet 80
0142 Linkomisin kapsul/kaplet 500 mg 607 Tablet -
0143 Magnesium Sulfat inj. (IV) 40% - 25 ml OTSU 4,800 Vial -
0144 Masker 1,238 Pcs -
0145 Mebendazol 100 mg 248 Tablet -
0146 Metformin HCl tablet 500 mg 105 Tablet -
0147 Methylprednisolon tablet 4 mg 198 Tablet -
0148 Metilergometrin maleat inj.0,200 mg - 1 ml 3,509 Ampul -
0149 Metilergometrin maleat tablet salut 0,125 133 Tablet 40
0150 Metoklopramide 10 mg 93 Tablet -
0151 Metoklopramide sirup 1,919 Botol 60 ml -
0152 Metronidazol tablet 500 mg 183 Tablet -
0153 Mikonazole krim/salep 2% 3,300 Tube 2
0154 Myomergin injeksi 3,800 Ampul -
0155 Natrium Diklofenak 25 mg 155 Tablet -
0156 Natrium Diklofenak 50 mg 206 Tablet -
0157 Natrium klorida larutan infus 0,9 % steril 5,390 Kolf 500ml 2
0158 Needle 275 Pcs -
0159 Neo Diastop 1,357 Tablet -
0160 Neuropanstop 990 TAblet -
0161 Nifedipin 10 mg 118 Tablet 90
0162 Nistatin 100.000 iu/g tablet vaginal 448 Tablet 100
0163 Nistatin 500.000 ju/g tablet salut 704 Tablet -
0164 Novadiar Suspensi 7,455 Botol 60 ml -
0165 Novadium 15 Tablet -
0166 NOVAMAG (Antasida DOEN II Suspensi, Kombinasi) 6,364 Botol 60 ml -
0167 NOVAMOX (Amoksisilin Sirup Kering 125 mg/5 ml) 10,227 Botol 60 ml -
0168 NOVASTAN (Asam Mefenamat Kaplet 500 mg) 159 Tablet -
0169 Noza 463 Tablet -
0170 OBH 1,400 Botol 100ml -
0171 Oksitetrasiklin hcl inj.i.m. 50 mg/ml - 10 ml 2,267 Vial -
0172 Oksitetrasiklin hcl salep kulit 3 % 1,646 Tube -
0173 Oksitetrasiklin hcl salep mata 1% 1,680 Tube -
0174 Oksitosin (Pitogin) injeksi 10 ju/ml - 1 ml 5,290 Ampul 11
0175 Omeprazole caps 265 Kapsul 50
0176 Paraformaldehide 100 Botol -
0177 Parasetamol sirup 120 mg/5 ml 1,404 Botol 60ml 3
0178 Parasetamol tablet 500 mg 85 Tablet 270
0179 Pavaperin tab 40 mg 128 Tablet -
0180 Piracetam inj 3 mg/ 15 ml 4,700 Ampul -
0181 Piracetam tablet 400 mg 194 Tablet -
0182 Pirantel tablet score (base) 125 mg 288 Tablet 21
0183 Piridoksin hcl (B6) tablet 10 mg 16 Tablet 990
0184 Piroksikam kapsul/kaplet/tablet 20 mg 92 Tablet -
0185 Plester 5 yard x 2 inch 23,625 Rol -
0186 Ponuric Tablet 1,252 Tablet -
0187 Prednison tablet 5 mg 57 Tablet 40
0188 Primaquin tablet 15 mg 125 Tablet -
0189 Propanolol 10 mg 85 Vial -
0190 Propiltiourasil tablet 100 mg 297 Tablet -
0191 Ranitidin 150 mg 119 Tablet 20
0192 Ranitidin Inj 1,157 Ampul 12
0193 Reserpin 0,1 mg Tablet 89 Tablet -
0194 Reserpin 0,25 mg Tablet 114 Tablet -
0195 Ringer laktat larutan infus steril 5,720 Kolf 500 ml 6
0196 Salbutamol tablet 2 mg 70 Tablet 100
0197 Salep 2 - 4 kombinasi 1,352 Pot 5
0198 Salisil bedak 2 % 1,180 Pcs 3
0199 Scabisid cream 7,700 Tube -
0200 Sefadroksil kapsul/kaplet 500 mg 521 Tablet 60
0201 Sefadroksil sirup kering 125 mg/5ml 5,248 Botol 60 ml 7
0202 Sefotaksim injeksi 1 g 7,546 Vial -
0203 Seftriakson injeksi 1 g 2,578 Vial -
0204 Semen seng fosfat serbuk dan cairan 102,850 Set -
0205 Sianokobalamin (vit. B.12) inj. 500 mcp/ml 1,067 Ampul 10
0206 Sianokobalamin (Vit. B.12) tablet 15 Tablet 80
0207 Silk (Benang Bedah sutera) no 3.0 6,983 Pcs -
0208 Silver amalgam serbuk 65 - 75 % 227,311 Botol -
0209 Simetidin tablet 200 mg 106 Tablet -
0210 Simvastatin 10 mg 180 Tablet 70
0211 Siprofloksasin tablet 500 mg (sebagai HCl) 241 Tablet -
0212 Sisoprim tablet (Kotrimoksasol 480 mg) 436 Tablet -
0213 Stesolid suppositoria 5 mg 37,760 Suppositoria -
0214 Stesolid tablet 5 mg (Valdimex tab 5 mg) 1,690 Tablet -
0215 Stesolid Injeksi 5 mg 15,200 Ampul -
0216 Temporary stropping fletcher 34,000 Botol -
0217 Tetrasiklin hcl kapsul 250 mg 147 Kapsul 80
0218 Tetrasiklin hcl kapsul 500 mg 226 Kapsul -
0219 Tiamfenikol kapsul/kaplet 500 mg 440 Tablet -
0220 Tiamin (Vitamin B1) injeksi 100 mg/ml 750 Ampul -
0221 Tiamin (vit. B1) tablet 50 mg 85 Tablet 990
0222 Tramadol kapsul/kaplet/tablet 50 mg 196 Tablet -
0223 Tramadol injeksi 50 mg/ml 6,200 Ampul -
0224 Triheksifenidil hidroklorida tablet 2 mg 44 Tablet -
0225 Truvit syrup 13,000 Botol 60ml -
0226 Urine bag 4,000 Pcs -
0227 Vastarel (Vit Kombinasi B1, B6,B12) 509 Tablet -
0228 Vitamin B kompleks tablet 22 Tablet -
0229 Wings nedlee 2,145 Pcs -
0230 Yodium povidon larutan 10 % 30 ml 2,100 Botol 30ml -
0231 Yodium povidon larutan 10 % 60 ml 3,675 Botol 60ml -
0232 Zincare tablet (Zinc 20 mg) 2,907 Tablet -
0233 Zinc tablet 20 mg 494 Tablet -
0234 Kasa 36m x 80 cm 60,720 Rol -
0235 Amoksisillin + Asam Klavulanat 5,040 Tablet -
0236 Siobion 1,067 Tablet -
0237 Salbutamol 4 mg Tablet 100
0238 Becefort sirup Botol 5
0239 Pirantel Sirup -
0240 Ketokonazole tablet -
0241 Hanscun steril -
0242 Sohobion injeksi -
0243 Metoklopramide 5 mg -
0244 Simvastatin 20 mg -
0245 Kloramfenikol salep mata -
0246 Etanol 70 % (Alkohol) 1000 ml -
0247 Lidokain injeksi 40 mg/2 ml -
0248 Miniaspi 80 mg / Asam acetilsalicilic Acid -
0249 Diazepam Rektal 5 mg -
0250 Oksitosin induxin -
0251 Piroksikam 10 mg -
0252 Polifix -
0253 Yodium povidon larutan 10 % 300 ml -
0254 Alcohol Swab CHG 0,5% -
0255 Policlean 500 ml -
0256 FM Crape Pembalut elastis/Gips -
0257 Antihemoroid -
0258 Lytacur Sirup -
0259 Farbion ijn -
0260 Pratopril / Piracetam inj 200mg -
0261 Chloramex/Kloramfenikol 500 mg -
0262 Stik Asam Urat -
0263 Stik Gula Darah -
0264 Stik Kolesterol -
0265 Hemafort/ FE -
0266 OAT Kategori 1 -
0267 Methisoprinol syrup -
0268 Salbutamol sulfat 4 mg -
0269 Consentrat cleaner -
0270 Diluents -
0271 Glucosa -
0272 GOT -
0273 GPT -
0274 Lyse -
0275 Test kehamilan -
0276 Ureum -
0277 Widal test -
0278 Creatinin -
0279 Kloramfenikol Tetes Telinga (Erlamicetyn) -
0280 Trifasicline Salep -
0281 Oksitetrasiklin HCl salep mata 1% (Terramicin) -
-

KUNJUNGAN
JUMLAH KUNJUNGAN RESEP JAMKESMAS BPJS

Mengetahui / Menyetujui Pengelolah Gudang


Kepala Puskesmas Puskesmas

SUGENG RAHARDJO MIRANTI A.Md,Far


Nip. 19630716 198803 1 012
B U F F E R
01 -
02 -
03 -
04 -
05 -
06 -
07 -
08 -
09 -
10 -
11 -
12 -
13 -
14 -
15 -
16 -
17 -
18 -
19 -
20 -
21 -
22 -
23 -
24 -
25 -
J K N
1 -
2 -
3 -
4 -
5 -
6 -
7 -
8 -
9 -
10 -
AR PERMINTAAN OBAT

PENERI- PERSE- PEMAK- SISA PERMIN- KET


MAAN DIAAN KAIAN STOK TAAN
6 7=(5+6) 8 9=(7-8) 11
#VALUE! #VALUE!
100 100
- -
- -
- -
18 18
- -
15 15
5 5
- -
130 130
90 90
- -
- -
- -
- -
80 80
11 11
100 100
- -
- -
- -
1 1
- -
- -
- -
- -
- -
2 2
50 50
20 20
- -
- -
6 6
- -
- -
12 12
9 9
40 40
- -
- -
- -
- -
- -
- -
- -
- -
- -
3 3
220 220
- -
- -
- -
- -
- -
- -
6 6
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
9 9
140 140
- -
- -
105 105
- -
- -
- -
- -
- -
- -
800 800
- -
- -
50 50
- -
2 2
- -
100 100
- -
- -
10 10
240 240
10 10
5 5
9 9
- -
13 13
25 25
10 10
- -
- -
- -
90 90
- -
- -
140 140
180 180
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
2 2
4 4
- -
- -
- -
- -
- -
- -
- -
100 100
200 200
- -
- -
- -
- -
- -
- -
- -
- -
- -
11 11
- -
80 80
- -
- -
- -
- -
- -
- -
- -
40 40
- -
- -
- -
2 2
- -
- -
- -
2 2
- -
- -
- -
90 90
100 100
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
11 11
50 50
- -
3 3
270 270
- -
- -
- -
21 21
990 990
- -
- -
- -
40 40
- -
- -
- -
20 20
12 12
- -
- -
6 6
100 100
5 5
3 3
- -
60 60
7 7
- -
- -
- -
10 10
80 80
- -
- -
- -
70 70
- -
- -
- -
- -
- -
- -
80 80
- -
- -
- -
990 990
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
100 100
5 5
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -

N TOTAL
UMUM

,,,,,,,/,,,,,,,,,2017
Penanggung Jawab
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -

- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
KET : HANYA KOLOM BERWARNA KUNING YANG DIISI
Kode Puskesmas : :
Puskesmas :MALEI
Kecamatan :KECAMATAN BALAESANGTANJUNG LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT
Pustu / Polindes : (LPLPO)
Kabupaten :DONGGALA
Provinsi :SULAWESI TENGAH

HARGA SATU- STOK


KODE NAMA OBAT
(Rp) AN AWAL
1 2 3 4 5
0001 Acyclovir 200 mg 251 Tablet #VALUE!
0002 Acyclovir 400 mg 340 Tablet 100
0003 Acyclovir Krim 5% 2,367 Tube -
0004 Adona Injeksi 5 ml 16,940 Vial -
0005 Air Raksa Dental USE 103,536 Botol -
0006 Alat suntik sekali pakai 1 ml 993 Pcs 18
0007 Alat suntik sekali pakai 2,5 ml 944 Pcs -
0008 Alat suntik sekali pakai 3 ml 944 Pcs 15
0009 Alat suntik sekali pakai 5 ml 944 Pcs 5
0010 Albendazol 425 Tablet -
0011 Alopurinol tablet 100 mg 106 Tablet 130
0012 Ambroxol 30 mg 89 Tablet 90
0013 Ambroxol sy 15 mg/ml 2,722 Botol -
0014 Aminofilin inj 3,315 Ampul -
0015 Aminofilin tablet 200 mg 93 Tablet -
0016 Amitriptilin 127 Tablet -
0017 Amlodipin 10 mg 440 Tablet 80
0018 Amoksisikin Sirup kering 125mg/5ml 2,511 Botol 60ml 11
0019 Amoksisilin kaplet 500 mg 228 Kaplet 100
0020 Ampicilin Serbuk inj i.m/i.v 4,700 Vial -
0021 Ampisilin Kaplet 500 mg 407 Kaplet -
0022 Antalgin 500 mg 36 Tablet -
0023 Antasid syrup 2,065 Botol 60ml 1
0024 Antasida doen tablet kombinasi 73 Tablet -
0025 Antifungi doen kombinasi 2,096 Pot -
0026 Antihemoroid doen kombinasi 2,000 Tube -
0027 Antimalaria DOEN kombinasi : Pirimetamin tablet 25 mg Sulfadoksin tablet 50 525 Tablet -
0028 Antimigren tablet : Ergotamin Tartrat 1 mg + Kofein 50 mg 135 Tablet -
0029 Aqua pro Inj Steril 5,900 Botol 2
0030 Asam Ascorbat (Vitamin C) tablet 50 mg 32 Tablet 50
0031 Asam mefenamat 500 mg 115 Tablet 20
0032 Atropin injeksi 1.m/i.v/s.k. 0,25 mg/ml 1,353 Ampul -
0033 Bacitracin cream 3,000 Tube -
0034 Betametason krim 0,1 % 1,670 Tube 6
0035 Bioplasenton 15,909 Tube -
0036 Bromhexin tablet 8 mg 39 Tablet -
0037 Catgut/benang bedah no.2/0-3/0 24,583 Pcs 12
0038 Deksametason Inj 1,850 Ampul 9
0039 Deksametason tablet 0,5 mg 81 Tablet 40
0040 Dekstrometorfan hbr sirup 10 mg/5 ml 1,467 Botol 60 ml -
0041 Dekstrometorfan tablet 15 mg 102 Tablet -
0042 Diazepam 2 mg 28 Tablet -
0043 Diazepam 5 mg 65 Tablet -
0044 Diazepam injeksi 5 mg/ml 2,578 Ampul -
0045 Difenhidramin injeksi i.m. 10 mg/ml (HCl) 1,045 Ampul -
0046 Digoksin tablet 0,25 mg 96 Tablet -
0047 Diltiazem HCl tablet 30 mg 129 Tablet -
0048 Doksisiklin Kapsul 100 mg 250 Kapsul -
0049 Domperidon suspensi 5 mg/5 ml 3,766 Botol 60ml 3
0050 Domperidon tablet 10 mg 192 Tablet 220
0051 Dulcolax Suppositoria 10 mg 23,200 Suppositoria -
0052 Efedrin HCl 25 mg 23 Tablet -
0053 Ekstrak belladon tablet 10 mg 42 Tablet -
0054 Epinefrin (Adrenalin) injeksi 0,1 % (sebagai HCl) 1,650 Ampul -
0055 Eritromisin kapsul 250 mg 462 Kapsul -
0056 Eritromisin kapsul/kaplet 500 mg 1,013 Tablet -
0057 Eritromisin sirup 200 mg/ 5 ml 7,581 Botol 60ml 6
0058 Erlamycetin tetes mata 9,900 Botol 5 ml -
0059 Etakridin larutan 0,1% 2,354 Botol 300 ml -
0060 Etanol 70 % (Alkohol) 100 ml 20,500 Botol 1000ml -
0061 Ethyl Chlorida 105,000 Botol 100 cc -
0062 Eugenol 45,833 Botol -
0063 FDC 1 299,200 Tablet -
0064 FDC 2 1,200,000 Tablet -
0065 Fenobarbital injeksi i.m./i.v. 50 mg/ml 1,888 Ampul -
0066 Fenobarbital tablet 30 mg 67 Tablet -
0067 Fenol Gliserol tetes telinga 10% 1,109 Botol -
0068 Fitomenadion (vit. K1) injeksi 10 mg - 1ml 1,723 Ampul 9
0069 Fitomenadion (vit.K1) tablet salut 10 mg 641 Tablet 140
0070 Folley catheter 8,495 Pcs -
0071 Furosemid tablet 40 mg 90 Tablet -
0072 Garam Oralit I serbuk, kombinasi : Natrium 0,52 g Kalium klorida 0,30 322 Sachet 105
0073 Gemfibrozil kapsul/kaplet 300 mg 306 Tablet -
0074 Gentamycin salep kulit 0,1% 1,469 Tube -
0075 Gentamisin Sulfat tetes mata 0,3% 3,194 Botol 5 ml -
0076 Gentian Violet larutan 1 % 985 Botol 10 ml -
0077 Glass lonomer cement (gc ix) 395,000 Set -
0078 Glibenklamid tablet 5 mg 59 Tablet -
0079 Gliseril guayakolat tablet 100 mg 28 Tablet 800
0080 Glukosa Larutan Infus 10 % Steril 6,300 Kolf 500 ml -
0081 Glukosa Larutan Infus 5 % Steril 5,844 Kolf 500ml -
0082 Griseofulvin tablet 125 mg 204 Tablet 50
0083 Haloperidol tablet 1,5 mg 64 Tablet -
0084 Handscoon 4,250 Pcs 2
0085 Handscoon Gynaekologi 24,000 Pcs -
0086 Hemafort 777 Tablet 100
0087 Hepafix 89,000 Rol -
0088 Hidroklorotiazid (HCT) tablet 25 mg 40 Tablet -
0089 Hidrokortison krim 2,5 % 2,519 Tablet 10
0090 Ibuprofen tablet 200 mg 96 Tablet 240
0091 Ibuprofen tablet 400 mg 153 Tablet 10
0092 Infusion set anak 4,400 Pcs 5
0093 Infusion set Dewasa 3,850 Pcs 9
0094 Isosorbit dinitrat tablet sublungual 5 mg 101 Tablet -
0095 IV Catheter 20 8,566 Pcs 13
0096 IV Catheter 22 7,000 Pcs 25
0097 IV Catheter 24 8,566 Pcs 10
0098 Kalium Diklofenak tablet 50 mg 425 Tablet -
0099 Kalnex (Asam Tranexamat) injeksi 11,000 Ampul -
0100 Kalsium Hidroksida Pasta 220,000 Tube -
0101 Kalsium laktat (kalk) tablet 500 mg 51 Tablet 90
0102 Kanamicyn Injeksi 1 gr 8,965 Vial -
0103 Kapas pembalut/absorben 250 mg 7,500 Bungkus -
0104 Kaptopril 12,5 mg 63 Tablet 140
0105 Kaptopril 25 mg 94 Tablet 180
0106 Karbamazepin tablet 200 mg 267 Tablet -
0107 Kasa Elastis 4 Inci 11,000 Rol -
0108 Kasa Hidrofil steril uk. 16x16 (isi 16 Lembar) 584 Kotak -
0109 Kasa Kompres 40/40 Steril 1,393 Bungkus -
0110 Kasa pembalut 2 m x 80 cm 17,143 Rol -
0111 Kasa Pembalut Hidrofil 4 m x 10 cm 668 Rol -
0112 Kasa pembalut hidrofil 4 m x 15 cm 3,373 Rol -
0113 Kasa pembalut hidrofil 4 m x 3 cm 733 Rol -
0114 Kasa Pembalut Hidrofil 4 m x 5 cm 3,373 Rol -
0115 Ketorolac inj 30 mg 2,539 Ampul -
0116 Kina Tablet 814 Tablet -
0117 Klindamisin kapsul/kaplet 300 mg 579 Tablet -
0118 Kloramfenicol kapsul 250 mg 250 Kapsul -
0119 Kloramfenikol tetes telinga 3% 1,759 Botol 5 ml 2
0120 Kloramfenicol suspensi 125mg/5ml 4,016 Botol 60ml 4
0121 Kloramfenikol tetes mata 0,5 % 2,750 Botol 5ml -
0122 Klorfeniramin maleat (ctm) tablet 4 mg 23 Tablet -
0123 Klorokuin tablet 150 mg 64 Tablet -
0124 Klorokuin tablet 250 mg 112 Tablet -
0125 Klorpromazin hcl tablet salut 100 mg 146 Tablet -
0126 Kodein tablet 10 mg 517 Tablet -
0127 Komb. pirimetamin 25100
Sulfametoksazol mg+sulfadoksilin
mg 500 mg 700 Tablet -
0128 Trimetoprim 20 mg 79 Tablet 100
0129 Kotrimoksazol DOEN I (dewasa) kombinasi : Sulfametoksazol 400 mg , Trimetop 146 Tablet 200
0130 Kotrimoksazol Suspensi komb: 2,213 Botol 60ml -
0131 Larutan Asam Asetat 6 % 15,730 Botol -
0132 Larutan asam sulfosalisilat 20% 1,179 Botol -
0133 Larutan Barium Klorida 2, 10 % 132,000 Botol -
0134 Larutan benedict 49,500 Botol -
0135 Larutan Fouchet 39,380 Botol -
0136 larutan Giemsa stain 132,000 Botol -
0137 Larutan HCL 0,1 % 14,116 Botol -
0138 Larutan Turk 20,000 Botol -
0139 Lidokain injeksi 2% 1,000 Ampul 11
0140 Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000-2ml 1,485 Ampul -
0141 Loperamid 2 mg 92 Tablet 80
0142 Linkomisin kapsul/kaplet 500 mg 607 Tablet -
0143 Magnesium Sulfat inj. (IV) 40% - 25 ml OTSU 4,800 Vial -
0144 Masker 1,238 Pcs -
0145 Mebendazol 100 mg 248 Tablet -
0146 Metformin HCl tablet 500 mg 105 Tablet -
0147 Methylprednisolon tablet 4 mg 198 Tablet -
0148 Metilergometrin maleat inj.0,200 mg - 1 ml 3,509 Ampul -
0149 Metilergometrin maleat tablet salut 0,125 133 Tablet 40
0150 Metoklopramide 10 mg 93 Tablet -
0151 Metoklopramide sirup 1,919 Botol 60 ml -
0152 Metronidazol tablet 500 mg 183 Tablet -
0153 Mikonazole krim/salep 2% 3,300 Tube 2
0154 Myomergin injeksi 3,800 Ampul -
0155 Natrium Diklofenak 25 mg 155 Tablet -
0156 Natrium Diklofenak 50 mg 206 Tablet -
0157 Natrium klorida larutan infus 0,9 % steril 5,390 Kolf 500ml 2
0158 Needle 275 Pcs -
0159 Neo Diastop 1,357 Tablet -
0160 Neuropanstop 990 TAblet -
0161 Nifedipin 10 mg 118 Tablet 90
0162 Nistatin 100.000 iu/g tablet vaginal 448 Tablet 100
0163 Nistatin 500.000 ju/g tablet salut 704 Tablet -
0164 Novadiar Suspensi 7,455 Botol 60 ml -
0165 Novadium 15 Tablet -
0166 NOVAMAG (Antasida DOEN II Suspensi, Kombinasi) 6,364 Botol 60 ml -
0167 NOVAMOX (Amoksisilin Sirup Kering 125 mg/5 ml) 10,227 Botol 60 ml -
0168 NOVASTAN (Asam Mefenamat Kaplet 500 mg) 159 Tablet -
0169 Noza 463 Tablet -
0170 OBH 1,400 Botol 100ml -
0171 Oksitetrasiklin hcl inj.i.m. 50 mg/ml - 10 ml 2,267 Vial -
0172 Oksitetrasiklin hcl salep kulit 3 % 1,646 Tube -
0173 Oksitetrasiklin hcl salep mata 1% 1,680 Tube -
0174 Oksitosin (Pitogin) injeksi 10 ju/ml - 1 ml 5,290 Ampul 11
0175 Omeprazole caps 265 Kapsul 50
0176 Paraformaldehide 100 Botol -
0177 Parasetamol sirup 120 mg/5 ml 1,404 Botol 60ml 3
0178 Parasetamol tablet 500 mg 85 Tablet 270
0179 Pavaperin tab 40 mg 128 Tablet -
0180 Piracetam inj 3 mg/ 15 ml 4,700 Ampul -
0181 Piracetam tablet 400 mg 194 Tablet -
0182 Pirantel tablet score (base) 125 mg 288 Tablet 21
0183 Piridoksin hcl (B6) tablet 10 mg 16 Tablet 990
0184 Piroksikam kapsul/kaplet/tablet 20 mg 92 Tablet -
0185 Plester 5 yard x 2 inch 23,625 Rol -
0186 Ponuric Tablet 1,252 Tablet -
0187 Prednison tablet 5 mg 57 Tablet 40
0188 Primaquin tablet 15 mg 125 Tablet -
0189 Propanolol 10 mg 85 Vial -
0190 Propiltiourasil tablet 100 mg 297 Tablet -
0191 Ranitidin 150 mg 119 Tablet 20
0192 Ranitidin Inj 1,157 Ampul 12
0193 Reserpin 0,1 mg Tablet 89 Tablet -
0194 Reserpin 0,25 mg Tablet 114 Tablet -
0195 Ringer laktat larutan infus steril 5,720 Kolf 500 ml 6
0196 Salbutamol tablet 2 mg 70 Tablet 100
0197 Salep 2 - 4 kombinasi 1,352 Pot 5
0198 Salisil bedak 2 % 1,180 Pcs 3
0199 Scabisid cream 7,700 Tube -
0200 Sefadroksil kapsul/kaplet 500 mg 521 Tablet 60
0201 Sefadroksil sirup kering 125 mg/5ml 5,248 Botol 60 ml 7
0202 Sefotaksim injeksi 1 g 7,546 Vial -
0203 Seftriakson injeksi 1 g 2,578 Vial -
0204 Semen seng fosfat serbuk dan cairan 102,850 Set -
0205 Sianokobalamin (vit. B.12) inj. 500 mcp/ml 1,067 Ampul 10
0206 Sianokobalamin (Vit. B.12) tablet 15 Tablet 80
0207 Silk (Benang Bedah sutera) no 3.0 6,983 Pcs -
0208 Silver amalgam serbuk 65 - 75 % 227,311 Botol -
0209 Simetidin tablet 200 mg 106 Tablet -
0210 Simvastatin 10 mg 180 Tablet 70
0211 Siprofloksasin tablet 500 mg (sebagai HCl) 241 Tablet -
0212 Sisoprim tablet (Kotrimoksasol 480 mg) 436 Tablet -
0213 Stesolid suppositoria 5 mg 37,760 Suppositoria -
0214 Stesolid tablet 5 mg (Valdimex tab 5 mg) 1,690 Tablet -
0215 Stesolid Injeksi 5 mg 15,200 Ampul -
0216 Temporary stropping fletcher 34,000 Botol -
0217 Tetrasiklin hcl kapsul 250 mg 147 Kapsul 80
0218 Tetrasiklin hcl kapsul 500 mg 226 Kapsul -
0219 Tiamfenikol kapsul/kaplet 500 mg 440 Tablet -
0220 Tiamin (Vitamin B1) injeksi 100 mg/ml 750 Ampul -
0221 Tiamin (vit. B1) tablet 50 mg 85 Tablet 990
0222 Tramadol kapsul/kaplet/tablet 50 mg 196 Tablet -
0223 Tramadol injeksi 50 mg/ml 6,200 Ampul -
0224 Triheksifenidil hidroklorida tablet 2 mg 44 Tablet -
0225 Truvit syrup 13,000 Botol 60ml -
0226 Urine bag 4,000 Pcs -
0227 Vastarel (Vit Kombinasi B1, B6,B12) 509 Tablet -
0228 Vitamin B kompleks tablet 22 Tablet -
0229 Wings nedlee 2,145 Pcs -
0230 Yodium povidon larutan 10 % 30 ml 2,100 Botol 30ml -
0231 Yodium povidon larutan 10 % 60 ml 3,675 Botol 60ml -
0232 Zincare tablet (Zinc 20 mg) 2,907 Tablet -
0233 Zinc tablet 20 mg 494 Tablet -
0234 Kasa 36m x 80 cm 60,720 Rol -
0235 Amoksisillin + Asam Klavulanat 5,040 Tablet -
0236 Siobion 1,067 Tablet -
0237 Salbutamol 4 mg Tablet 100
0238 Becefort sirup Botol 5
0239 Pirantel Sirup -
0240 Ketokonazole tablet -
0241 Hanscun steril -
0242 Sohobion injeksi -
0243 Metoklopramide 5 mg -
0244 Simvastatin 20 mg -
0245 Kloramfenikol salep mata -
0246 Etanol 70 % (Alkohol) 1000 ml -
0247 Lidokain injeksi 40 mg/2 ml -
0248 Miniaspi 80 mg / Asam acetilsalicilic Acid -
0249 Diazepam Rektal 5 mg -
0250 Oksitosin induxin -
0251 Piroksikam 10 mg -
0252 Polifix -
0253 Yodium povidon larutan 10 % 300 ml -
0254 Alcohol Swab CHG 0,5% -
0255 Policlean 500 ml -
0256 FM Crape Pembalut elastis/Gips -
0257 Antihemoroid -
0258 Lytacur Sirup -
0259 Farbion ijn -
0260 Pratopril / Piracetam inj 200mg -
0261 Chloramex/Kloramfenikol 500 mg -
0262 Stik Asam Urat -
0263 Stik Gula Darah -
0264 Stik Kolesterol -
0265 Hemafort/ FE -
0266 OAT Kategori 1 -
0267 Methisoprinol syrup -
0268 Salbutamol sulfat 4 mg -
0269 Consentrat cleaner -
0270 Diluents -
0271 Glucosa -
0272 GOT -
0273 GPT -
0274 Lyse -
0275 Test kehamilan -
0276 Ureum -
0277 Widal test -
0278 Creatinin -
0279 Kloramfenikol Tetes Telinga (Erlamicetyn) -
0280 Trifasicline Salep -
0281 Oksitetrasiklin HCl salep mata 1% (Terramicin) -
-

KUNJUNGAN
JUMLAH KUNJUNGAN RESEP JAMKESMAS BPJS

Mengetahui / Menyetujui Pengelolah Gudang


Kepala Puskesmas Puskesmas

SUGENG RAHARDJO MIRANTI A.Md,Far


Nip. 19630716 198803 1 012
B U F F E R
01 -
02 -
03 -
04 -
05 -
06 -
07 -
08 -
09 -
10 -
11 -
12 -
13 -
14 -
15 -
16 -
17 -
18 -
19 -
20 -
21 -
22 -
23 -
24 -
25 -
J K N
1 -
2 -
3 -
4 -
5 -
6 -
7 -
8 -
9 -
10 -
AR PERMINTAAN OBAT

PENERI- PERSE- PEMAK- SISA PERMIN- KET


MAAN DIAAN KAIAN STOK TAAN
6 7=(5+6) 8 9=(7-8) 11
#VALUE! #VALUE!
100 100
- -
- -
- -
18 18
- -
15 15
5 5
- -
130 130
90 90
- -
- -
- -
- -
80 80
11 11
100 100
- -
- -
- -
1 1
- -
- -
- -
- -
- -
2 2
50 50
20 20
- -
- -
6 6
- -
- -
12 12
9 9
40 40
- -
- -
- -
- -
- -
- -
- -
- -
- -
3 3
220 220
- -
- -
- -
- -
- -
- -
6 6
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
9 9
140 140
- -
- -
105 105
- -
- -
- -
- -
- -
- -
800 800
- -
- -
50 50
- -
2 2
- -
100 100
- -
- -
10 10
240 240
10 10
5 5
9 9
- -
13 13
25 25
10 10
- -
- -
- -
90 90
- -
- -
140 140
180 180
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
2 2
4 4
- -
- -
- -
- -
- -
- -
- -
100 100
200 200
- -
- -
- -
- -
- -
- -
- -
- -
- -
11 11
- -
80 80
- -
- -
- -
- -
- -
- -
- -
40 40
- -
- -
- -
2 2
- -
- -
- -
2 2
- -
- -
- -
90 90
100 100
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
11 11
50 50
- -
3 3
270 270
- -
- -
- -
21 21
990 990
- -
- -
- -
40 40
- -
- -
- -
20 20
12 12
- -
- -
6 6
100 100
5 5
3 3
- -
60 60
7 7
- -
- -
- -
10 10
80 80
- -
- -
- -
70 70
- -
- -
- -
- -
- -
- -
80 80
- -
- -
- -
990 990
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
100 100
5 5
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -

N TOTAL
UMUM

,,,,,,,/,,,,,,,,,2017
Penanggung Jawab
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -

- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
KET : HANYA KOLOM BERWARNA KUNING YANG DIISI
Kode Puskesmas : :
Puskesmas :MALEI
Kecamatan :KECAMATAN BALAESANGTANJUNG LAPORAN PEMAKAIAN DAN LEMBAR PERMINTAAN OBAT
Pustu / Polindes : (LPLPO)
Kabupaten :DONGGALA
Provinsi :SULAWESI TENGAH

HARGA SATU- STOK


KODE NAMA OBAT
(Rp) AN AWAL
1 2 3 4 5
0001 Acyclovir 200 mg 251 Tablet #VALUE!
0002 Acyclovir 400 mg 340 Tablet 100
0003 Acyclovir Krim 5% 2,367 Tube -
0004 Adona Injeksi 5 ml 16,940 Vial -
0005 Air Raksa Dental USE 103,536 Botol -
0006 Alat suntik sekali pakai 1 ml 993 Pcs 18
0007 Alat suntik sekali pakai 2,5 ml 944 Pcs -
0008 Alat suntik sekali pakai 3 ml 944 Pcs 15
0009 Alat suntik sekali pakai 5 ml 944 Pcs 5
0010 Albendazol 425 Tablet -
0011 Alopurinol tablet 100 mg 106 Tablet 130
0012 Ambroxol 30 mg 89 Tablet 90
0013 Ambroxol sy 15 mg/ml 2,722 Botol -
0014 Aminofilin inj 3,315 Ampul -
0015 Aminofilin tablet 200 mg 93 Tablet -
0016 Amitriptilin 127 Tablet -
0017 Amlodipin 10 mg 440 Tablet 80
0018 Amoksisikin Sirup kering 125mg/5ml 2,511 Botol 60ml 11
0019 Amoksisilin kaplet 500 mg 228 Kaplet 100
0020 Ampicilin Serbuk inj i.m/i.v 4,700 Vial -
0021 Ampisilin Kaplet 500 mg 407 Kaplet -
0022 Antalgin 500 mg 36 Tablet -
0023 Antasid syrup 2,065 Botol 60ml 1
0024 Antasida doen tablet kombinasi 73 Tablet -
0025 Antifungi doen kombinasi 2,096 Pot -
0026 Antihemoroid doen kombinasi 2,000 Tube -
0027 Antimalaria DOEN kombinasi : Pirimetamin tablet 25 mg Sulfadoksin tablet 50 525 Tablet -
0028 Antimigren tablet : Ergotamin Tartrat 1 mg + Kofein 50 mg 135 Tablet -
0029 Aqua pro Inj Steril 5,900 Botol 2
0030 Asam Ascorbat (Vitamin C) tablet 50 mg 32 Tablet 50
0031 Asam mefenamat 500 mg 115 Tablet 20
0032 Atropin injeksi 1.m/i.v/s.k. 0,25 mg/ml 1,353 Ampul -
0033 Bacitracin cream 3,000 Tube -
0034 Betametason krim 0,1 % 1,670 Tube 6
0035 Bioplasenton 15,909 Tube -
0036 Bromhexin tablet 8 mg 39 Tablet -
0037 Catgut/benang bedah no.2/0-3/0 24,583 Pcs 12
0038 Deksametason Inj 1,850 Ampul 9
0039 Deksametason tablet 0,5 mg 81 Tablet 40
0040 Dekstrometorfan hbr sirup 10 mg/5 ml 1,467 Botol 60 ml -
0041 Dekstrometorfan tablet 15 mg 102 Tablet -
0042 Diazepam 2 mg 28 Tablet -
0043 Diazepam 5 mg 65 Tablet -
0044 Diazepam injeksi 5 mg/ml 2,578 Ampul -
0045 Difenhidramin injeksi i.m. 10 mg/ml (HCl) 1,045 Ampul -
0046 Digoksin tablet 0,25 mg 96 Tablet -
0047 Diltiazem HCl tablet 30 mg 129 Tablet -
0048 Doksisiklin Kapsul 100 mg 250 Kapsul -
0049 Domperidon suspensi 5 mg/5 ml 3,766 Botol 60ml 3
0050 Domperidon tablet 10 mg 192 Tablet 220
0051 Dulcolax Suppositoria 10 mg 23,200 Suppositoria -
0052 Efedrin HCl 25 mg 23 Tablet -
0053 Ekstrak belladon tablet 10 mg 42 Tablet -
0054 Epinefrin (Adrenalin) injeksi 0,1 % (sebagai HCl) 1,650 Ampul -
0055 Eritromisin kapsul 250 mg 462 Kapsul -
0056 Eritromisin kapsul/kaplet 500 mg 1,013 Tablet -
0057 Eritromisin sirup 200 mg/ 5 ml 7,581 Botol 60ml 6
0058 Erlamycetin tetes mata 9,900 Botol 5 ml -
0059 Etakridin larutan 0,1% 2,354 Botol 300 ml -
0060 Etanol 70 % (Alkohol) 100 ml 20,500 Botol 1000ml -
0061 Ethyl Chlorida 105,000 Botol 100 cc -
0062 Eugenol 45,833 Botol -
0063 FDC 1 299,200 Tablet -
0064 FDC 2 1,200,000 Tablet -
0065 Fenobarbital injeksi i.m./i.v. 50 mg/ml 1,888 Ampul -
0066 Fenobarbital tablet 30 mg 67 Tablet -
0067 Fenol Gliserol tetes telinga 10% 1,109 Botol -
0068 Fitomenadion (vit. K1) injeksi 10 mg - 1ml 1,723 Ampul 9
0069 Fitomenadion (vit.K1) tablet salut 10 mg 641 Tablet 140
0070 Folley catheter 8,495 Pcs -
0071 Furosemid tablet 40 mg 90 Tablet -
0072 Garam Oralit I serbuk, kombinasi : Natrium 0,52 g Kalium klorida 0,30 322 Sachet 105
0073 Gemfibrozil kapsul/kaplet 300 mg 306 Tablet -
0074 Gentamycin salep kulit 0,1% 1,469 Tube -
0075 Gentamisin Sulfat tetes mata 0,3% 3,194 Botol 5 ml -
0076 Gentian Violet larutan 1 % 985 Botol 10 ml -
0077 Glass lonomer cement (gc ix) 395,000 Set -
0078 Glibenklamid tablet 5 mg 59 Tablet -
0079 Gliseril guayakolat tablet 100 mg 28 Tablet 800
0080 Glukosa Larutan Infus 10 % Steril 6,300 Kolf 500 ml -
0081 Glukosa Larutan Infus 5 % Steril 5,844 Kolf 500ml -
0082 Griseofulvin tablet 125 mg 204 Tablet 50
0083 Haloperidol tablet 1,5 mg 64 Tablet -
0084 Handscoon 4,250 Pcs 2
0085 Handscoon Gynaekologi 24,000 Pcs -
0086 Hemafort 777 Tablet 100
0087 Hepafix 89,000 Rol -
0088 Hidroklorotiazid (HCT) tablet 25 mg 40 Tablet -
0089 Hidrokortison krim 2,5 % 2,519 Tablet 10
0090 Ibuprofen tablet 200 mg 96 Tablet 240
0091 Ibuprofen tablet 400 mg 153 Tablet 10
0092 Infusion set anak 4,400 Pcs 5
0093 Infusion set Dewasa 3,850 Pcs 9
0094 Isosorbit dinitrat tablet sublungual 5 mg 101 Tablet -
0095 IV Catheter 20 8,566 Pcs 13
0096 IV Catheter 22 7,000 Pcs 25
0097 IV Catheter 24 8,566 Pcs 10
0098 Kalium Diklofenak tablet 50 mg 425 Tablet -
0099 Kalnex (Asam Tranexamat) injeksi 11,000 Ampul -
0100 Kalsium Hidroksida Pasta 220,000 Tube -
0101 Kalsium laktat (kalk) tablet 500 mg 51 Tablet 90
0102 Kanamicyn Injeksi 1 gr 8,965 Vial -
0103 Kapas pembalut/absorben 250 mg 7,500 Bungkus -
0104 Kaptopril 12,5 mg 63 Tablet 140
0105 Kaptopril 25 mg 94 Tablet 180
0106 Karbamazepin tablet 200 mg 267 Tablet -
0107 Kasa Elastis 4 Inci 11,000 Rol -
0108 Kasa Hidrofil steril uk. 16x16 (isi 16 Lembar) 584 Kotak -
0109 Kasa Kompres 40/40 Steril 1,393 Bungkus -
0110 Kasa pembalut 2 m x 80 cm 17,143 Rol -
0111 Kasa Pembalut Hidrofil 4 m x 10 cm 668 Rol -
0112 Kasa pembalut hidrofil 4 m x 15 cm 3,373 Rol -
0113 Kasa pembalut hidrofil 4 m x 3 cm 733 Rol -
0114 Kasa Pembalut Hidrofil 4 m x 5 cm 3,373 Rol -
0115 Ketorolac inj 30 mg 2,539 Ampul -
0116 Kina Tablet 814 Tablet -
0117 Klindamisin kapsul/kaplet 300 mg 579 Tablet -
0118 Kloramfenicol kapsul 250 mg 250 Kapsul -
0119 Kloramfenikol tetes telinga 3% 1,759 Botol 5 ml 2
0120 Kloramfenicol suspensi 125mg/5ml 4,016 Botol 60ml 4
0121 Kloramfenikol tetes mata 0,5 % 2,750 Botol 5ml -
0122 Klorfeniramin maleat (ctm) tablet 4 mg 23 Tablet -
0123 Klorokuin tablet 150 mg 64 Tablet -
0124 Klorokuin tablet 250 mg 112 Tablet -
0125 Klorpromazin hcl tablet salut 100 mg 146 Tablet -
0126 Kodein tablet 10 mg 517 Tablet -
0127 Komb. pirimetamin 25100
Sulfametoksazol mg+sulfadoksilin
mg 500 mg 700 Tablet -
0128 Trimetoprim 20 mg 79 Tablet 100
0129 Kotrimoksazol DOEN I (dewasa) kombinasi : Sulfametoksazol 400 mg , Trimetop 146 Tablet 200
0130 Kotrimoksazol Suspensi komb: 2,213 Botol 60ml -
0131 Larutan Asam Asetat 6 % 15,730 Botol -
0132 Larutan asam sulfosalisilat 20% 1,179 Botol -
0133 Larutan Barium Klorida 2, 10 % 132,000 Botol -
0134 Larutan benedict 49,500 Botol -
0135 Larutan Fouchet 39,380 Botol -
0136 larutan Giemsa stain 132,000 Botol -
0137 Larutan HCL 0,1 % 14,116 Botol -
0138 Larutan Turk 20,000 Botol -
0139 Lidokain injeksi 2% 1,000 Ampul 11
0140 Lidokain injeksi 2% (HCl) + Epinefrin 1 : 80.000-2ml 1,485 Ampul -
0141 Loperamid 2 mg 92 Tablet 80
0142 Linkomisin kapsul/kaplet 500 mg 607 Tablet -
0143 Magnesium Sulfat inj. (IV) 40% - 25 ml OTSU 4,800 Vial -
0144 Masker 1,238 Pcs -
0145 Mebendazol 100 mg 248 Tablet -
0146 Metformin HCl tablet 500 mg 105 Tablet -
0147 Methylprednisolon tablet 4 mg 198 Tablet -
0148 Metilergometrin maleat inj.0,200 mg - 1 ml 3,509 Ampul -
0149 Metilergometrin maleat tablet salut 0,125 133 Tablet 40
0150 Metoklopramide 10 mg 93 Tablet -
0151 Metoklopramide sirup 1,919 Botol 60 ml -
0152 Metronidazol tablet 500 mg 183 Tablet -
0153 Mikonazole krim/salep 2% 3,300 Tube 2
0154 Myomergin injeksi 3,800 Ampul -
0155 Natrium Diklofenak 25 mg 155 Tablet -
0156 Natrium Diklofenak 50 mg 206 Tablet -
0157 Natrium klorida larutan infus 0,9 % steril 5,390 Kolf 500ml 2
0158 Needle 275 Pcs -
0159 Neo Diastop 1,357 Tablet -
0160 Neuropanstop 990 TAblet -
0161 Nifedipin 10 mg 118 Tablet 90
0162 Nistatin 100.000 iu/g tablet vaginal 448 Tablet 100
0163 Nistatin 500.000 ju/g tablet salut 704 Tablet -
0164 Novadiar Suspensi 7,455 Botol 60 ml -
0165 Novadium 15 Tablet -
0166 NOVAMAG (Antasida DOEN II Suspensi, Kombinasi) 6,364 Botol 60 ml -
0167 NOVAMOX (Amoksisilin Sirup Kering 125 mg/5 ml) 10,227 Botol 60 ml -
0168 NOVASTAN (Asam Mefenamat Kaplet 500 mg) 159 Tablet -
0169 Noza 463 Tablet -
0170 OBH 1,400 Botol 100ml -
0171 Oksitetrasiklin hcl inj.i.m. 50 mg/ml - 10 ml 2,267 Vial -
0172 Oksitetrasiklin hcl salep kulit 3 % 1,646 Tube -
0173 Oksitetrasiklin hcl salep mata 1% 1,680 Tube -
0174 Oksitosin (Pitogin) injeksi 10 ju/ml - 1 ml 5,290 Ampul 11
0175 Omeprazole caps 265 Kapsul 50
0176 Paraformaldehide 100 Botol -
0177 Parasetamol sirup 120 mg/5 ml 1,404 Botol 60ml 3
0178 Parasetamol tablet 500 mg 85 Tablet 270
0179 Pavaperin tab 40 mg 128 Tablet -
0180 Piracetam inj 3 mg/ 15 ml 4,700 Ampul -
0181 Piracetam tablet 400 mg 194 Tablet -
0182 Pirantel tablet score (base) 125 mg 288 Tablet 21
0183 Piridoksin hcl (B6) tablet 10 mg 16 Tablet 990
0184 Piroksikam kapsul/kaplet/tablet 20 mg 92 Tablet -
0185 Plester 5 yard x 2 inch 23,625 Rol -
0186 Ponuric Tablet 1,252 Tablet -
0187 Prednison tablet 5 mg 57 Tablet 40
0188 Primaquin tablet 15 mg 125 Tablet -
0189 Propanolol 10 mg 85 Vial -
0190 Propiltiourasil tablet 100 mg 297 Tablet -
0191 Ranitidin 150 mg 119 Tablet 20
0192 Ranitidin Inj 1,157 Ampul 12
0193 Reserpin 0,1 mg Tablet 89 Tablet -
0194 Reserpin 0,25 mg Tablet 114 Tablet -
0195 Ringer laktat larutan infus steril 5,720 Kolf 500 ml 6
0196 Salbutamol tablet 2 mg 70 Tablet 100
0197 Salep 2 - 4 kombinasi 1,352 Pot 5
0198 Salisil bedak 2 % 1,180 Pcs 3
0199 Scabisid cream 7,700 Tube -
0200 Sefadroksil kapsul/kaplet 500 mg 521 Tablet 60
0201 Sefadroksil sirup kering 125 mg/5ml 5,248 Botol 60 ml 7
0202 Sefotaksim injeksi 1 g 7,546 Vial -
0203 Seftriakson injeksi 1 g 2,578 Vial -
0204 Semen seng fosfat serbuk dan cairan 102,850 Set -
0205 Sianokobalamin (vit. B.12) inj. 500 mcp/ml 1,067 Ampul 10
0206 Sianokobalamin (Vit. B.12) tablet 15 Tablet 80
0207 Silk (Benang Bedah sutera) no 3.0 6,983 Pcs -
0208 Silver amalgam serbuk 65 - 75 % 227,311 Botol -
0209 Simetidin tablet 200 mg 106 Tablet -
0210 Simvastatin 10 mg 180 Tablet 70
0211 Siprofloksasin tablet 500 mg (sebagai HCl) 241 Tablet -
0212 Sisoprim tablet (Kotrimoksasol 480 mg) 436 Tablet -
0213 Stesolid suppositoria 5 mg 37,760 Suppositoria -
0214 Stesolid tablet 5 mg (Valdimex tab 5 mg) 1,690 Tablet -
0215 Stesolid Injeksi 5 mg 15,200 Ampul -
0216 Temporary stropping fletcher 34,000 Botol -
0217 Tetrasiklin hcl kapsul 250 mg 147 Kapsul 80
0218 Tetrasiklin hcl kapsul 500 mg 226 Kapsul -
0219 Tiamfenikol kapsul/kaplet 500 mg 440 Tablet -
0220 Tiamin (Vitamin B1) injeksi 100 mg/ml 750 Ampul -
0221 Tiamin (vit. B1) tablet 50 mg 85 Tablet 990
0222 Tramadol kapsul/kaplet/tablet 50 mg 196 Tablet -
0223 Tramadol injeksi 50 mg/ml 6,200 Ampul -
0224 Triheksifenidil hidroklorida tablet 2 mg 44 Tablet -
0225 Truvit syrup 13,000 Botol 60ml -
0226 Urine bag 4,000 Pcs -
0227 Vastarel (Vit Kombinasi B1, B6,B12) 509 Tablet -
0228 Vitamin B kompleks tablet 22 Tablet -
0229 Wings nedlee 2,145 Pcs -
0230 Yodium povidon larutan 10 % 30 ml 2,100 Botol 30ml -
0231 Yodium povidon larutan 10 % 60 ml 3,675 Botol 60ml -
0232 Zincare tablet (Zinc 20 mg) 2,907 Tablet -
0233 Zinc tablet 20 mg 494 Tablet -
0234 Kasa 36m x 80 cm 60,720 Rol -
0235 Amoksisillin + Asam Klavulanat 5,040 Tablet -
0236 Siobion 1,067 Tablet -
0237 Salbutamol 4 mg Tablet 100
0238 Becefort sirup Botol 5
0239 Pirantel Sirup -
0240 Ketokonazole tablet -
0241 Hanscun steril -
0242 Sohobion injeksi -
0243 Metoklopramide 5 mg -
0244 Simvastatin 20 mg -
0245 Kloramfenikol salep mata -
0246 Etanol 70 % (Alkohol) 1000 ml -
0247 Lidokain injeksi 40 mg/2 ml -
0248 Miniaspi 80 mg / Asam acetilsalicilic Acid -
0249 Diazepam Rektal 5 mg -
0250 Oksitosin induxin -
0251 Piroksikam 10 mg -
0252 Polifix -
0253 Yodium povidon larutan 10 % 300 ml -
0254 Alcohol Swab CHG 0,5% -
0255 Policlean 500 ml -
0256 FM Crape Pembalut elastis/Gips -
0257 Antihemoroid -
0258 Lytacur Sirup -
0259 Farbion ijn -
0260 Pratopril / Piracetam inj 200mg -
0261 Chloramex/Kloramfenikol 500 mg -
0262 Stik Asam Urat -
0263 Stik Gula Darah -
0264 Stik Kolesterol -
0265 Hemafort/ FE -
0266 OAT Kategori 1 -
0267 Methisoprinol syrup -
0268 Salbutamol sulfat 4 mg -
0269 Consentrat cleaner -
0270 Diluents -
0271 Glucosa -
0272 GOT -
0273 GPT -
0274 Lyse -
0275 Test kehamilan -
0276 Ureum -
0277 Widal test -
0278 Creatinin -
0279 Kloramfenikol Tetes Telinga (Erlamicetyn) -
0280 Trifasicline Salep -
0281 Oksitetrasiklin HCl salep mata 1% (Terramicin) -
-

KUNJUNGAN
JUMLAH KUNJUNGAN RESEP JAMKESMAS BPJS

Mengetahui / Menyetujui Pengelolah Gudang


Kepala Puskesmas Puskesmas

SUGENG RAHARDJO MIRANTI A.Md,Far


Nip. 19630716 198803 1 012
B U F F E R
01 -
02 -
03 -
04 -
05 -
06 -
07 -
08 -
09 -
10 -
11 -
12 -
13 -
14 -
15 -
16 -
17 -
18 -
19 -
20 -
21 -
22 -
23 -
24 -
25 -
J K N
1 -
2 -
3 -
4 -
5 -
6 -
7 -
8 -
9 -
10 -
AR PERMINTAAN OBAT

PENERI- PERSE- PEMAK- SISA PERMIN- KET


MAAN DIAAN KAIAN STOK TAAN
6 7=(5+6) 8 9=(7-8) 11
#VALUE! #VALUE!
100 100
- -
- -
- -
18 18
- -
15 15
5 5
- -
130 130
90 90
- -
- -
- -
- -
80 80
11 11
100 100
- -
- -
- -
1 1
- -
- -
- -
- -
- -
2 2
50 50
20 20
- -
- -
6 6
- -
- -
12 12
9 9
40 40
- -
- -
- -
- -
- -
- -
- -
- -
- -
3 3
220 220
- -
- -
- -
- -
- -
- -
6 6
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
9 9
140 140
- -
- -
105 105
- -
- -
- -
- -
- -
- -
800 800
- -
- -
50 50
- -
2 2
- -
100 100
- -
- -
10 10
240 240
10 10
5 5
9 9
- -
13 13
25 25
10 10
- -
- -
- -
90 90
- -
- -
140 140
180 180
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
2 2
4 4
- -
- -
- -
- -
- -
- -
- -
100 100
200 200
- -
- -
- -
- -
- -
- -
- -
- -
- -
11 11
- -
80 80
- -
- -
- -
- -
- -
- -
- -
40 40
- -
- -
- -
2 2
- -
- -
- -
2 2
- -
- -
- -
90 90
100 100
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
11 11
50 50
- -
3 3
270 270
- -
- -
- -
21 21
990 990
- -
- -
- -
40 40
- -
- -
- -
20 20
12 12
- -
- -
6 6
100 100
5 5
3 3
- -
60 60
7 7
- -
- -
- -
10 10
80 80
- -
- -
- -
70 70
- -
- -
- -
- -
- -
- -
80 80
- -
- -
- -
990 990
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
100 100
5 5
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -

N TOTAL
UMUM

,,,,,,,/,,,,,,,,,2017
Penanggung Jawab
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -
- -

- -
- -
- -
- -
- -
- -
- -
- -
- -
- -

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